- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $327.51 / $1,018.85 / $11,093.00
| Facility | | $327.51 | $1,018.85 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,309.00 / $6,474.00 / $13,810.27
| Facility | | $3,309.00 | $6,474.00 | $13,810.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $260.19 / $331.62 / $1,048.85
| Facility | | $260.19 | $331.62 | $1,048.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,129.11 / $2,129.11 / $2,129.11
| Facility | | $2,129.11 | $2,129.11 | $2,129.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,637.81 / $6,741.00 / $10,769.00
| Facility | | $2,637.81 | $6,741.00 | $10,769.00 |