- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.32 / $4,846.00 / $13,594.75
| Facility | | $500.32 | $4,846.00 | $13,594.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,309.00 / $6,474.00 / $13,758.00
| Facility | | $3,309.00 | $6,474.00 | $13,758.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $498.88 / $684.74 / $1,027.10
| Facility | | $498.88 | $684.74 | $1,027.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,116.34 / $2,116.34 / $2,508.71
| Facility | | $2,116.34 | $2,116.34 | $2,508.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,932.00 / $8,348.00 / $12,569.00
| Facility | | $3,932.00 | $8,348.00 | $12,569.00 |