- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $529.51 / $6,939.18 / $15,210.05
| Facility | | $529.51 | $6,939.18 | $15,210.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,146.00 / $9,219.00 / $30,900.00
| Facility | | $4,146.00 | $9,219.00 | $30,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $517.73 / $673.05 / $776.60
| Facility | | $517.73 | $673.05 | $776.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,068.32 / $6,068.32 / $7,193.39
| Facility | | $6,068.32 | $6,068.32 | $7,193.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,058.00 / $12,330.00 / $17,416.00
| Facility | | $5,058.00 | $12,330.00 | $17,416.00 |