- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $773.71 / $4,846.00 / $11,560.82
| Facility | | $773.71 | $4,846.00 | $11,560.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,473.00 / $7,890.00 / $30,900.00
| Facility | | $3,473.00 | $7,890.00 | $30,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $755.32 / $981.92 / $1,132.98
| Facility | | $755.32 | $981.92 | $1,132.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,011.48 / $6,011.48 / $7,126.02
| Facility | | $6,011.48 | $6,011.48 | $7,126.02 |
- 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 |