- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,382.00 / $8,477.27 / $19,276.96
| Facility | | $4,382.00 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,074.79 / $8,806.74 / $15,455.25
| Facility | | $6,074.79 | $8,806.74 | $15,455.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $527.03 / $934.05 / $1,464.00
| Facility | | $527.03 | $934.05 | $1,464.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,020.81 / $1,358.48 / $5,251.23
| Facility | | $1,020.81 | $1,358.48 | $5,251.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |