- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,354.18 / $5,072.00 / $11,581.00
| Facility | | $1,354.18 | $5,072.00 | $11,581.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,051.00 / $1,981.00 / $3,943.00
| Facility | | $1,051.00 | $1,981.00 | $3,943.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $792.83 / $1,154.47 / $1,457.40
| Facility | | $792.83 | $1,154.47 | $1,457.40 |
- 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
- $1,020.00 / $1,940.00 / $4,132.00
| Facility | | $1,020.00 | $1,940.00 | $4,132.00 |