- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $950.00 / $5,242.22 / $11,581.00
| Facility | | $950.00 | $5,242.22 | $11,581.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,185.00 / $10,766.00 / $60,320.00
| Facility | | $3,185.00 | $10,766.00 | $60,320.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $353.52 / $353.52 / $514.78
| Facility | | $353.52 | $353.52 | $514.78 |
- 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
- $9,541.00 / $31,432.00 / $80,030.00
| Facility | | $9,541.00 | $31,432.00 | $80,030.00 |