- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $905.76 / $7,631.27 / $25,286.02
| Facility | | $905.76 | $7,631.27 | $25,286.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,837.00 / $7,944.00 / $30,900.00
| Facility | | $3,837.00 | $7,944.00 | $30,900.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $880.26 / $1,144.33 / $1,725.91
| Facility | | $880.26 | $1,144.33 | $1,725.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,202.68 / $6,202.68 / $7,352.67
| Facility | | $6,202.68 | $6,202.68 | $7,352.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,058.00 / $11,452.00 / $17,416.00
| Facility | | $5,058.00 | $11,452.00 | $17,416.00 |