- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $922.87 / $5,491.19 / $10,492.00
| Facility | | $922.87 | $5,491.19 | $10,492.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,855.00 / $14,429.00 / $24,206.00
| Facility | | $7,855.00 | $14,429.00 | $24,206.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,212.00 / $4,326.79 / $4,326.79
| Facility | | $2,212.00 | $4,326.79 | $4,326.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,296.00 / $4,588.00 / $4,682.00
| Facility | | $3,296.00 | $4,588.00 | $4,682.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,565.00 / $6,647.00 / $11,152.00
| Facility | | $4,565.00 | $6,647.00 | $11,152.00 |