- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,717.26 / $8,231.04 / $11,627.00
| Facility | | $2,717.26 | $8,231.04 | $11,627.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,895.00 / $5,945.00 / $29,406.00
| Facility | | $1,895.00 | $5,945.00 | $29,406.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,368.92 / $2,368.92 / $3,449.48
| Facility | | $2,368.92 | $2,368.92 | $3,449.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,480.00 / $3,086.00 / $6,792.00
| Facility | | $1,480.00 | $3,086.00 | $6,792.00 |