- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.28 / $4,376.00 / $13,151.00
| Facility | | $1,174.28 | $4,376.00 | $13,151.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,765.91 / $7,148.73 / $8,830.78
| Facility | | $5,765.91 | $7,148.73 | $8,830.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,326.00 / $14,356.00 / $14,356.00
| Facility | | $1,326.00 | $14,356.00 | $14,356.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $986.79 / $1,540.73 / $11,642.00
| Facility | | $986.79 | $1,540.73 | $11,642.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,572.31 / $6,145.00 / $13,573.09
| Facility | | $1,572.31 | $6,145.00 | $13,573.09 |