- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,807.00 / $4,758.00 / $12,154.00
| Facility | | $1,807.00 | $4,758.00 | $12,154.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,451.02 / $3,451.02 / $3,451.02
| Facility | | $3,451.02 | $3,451.02 | $3,451.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,399.00 / $3,150.00 / $3,644.00
| Facility | | $2,399.00 | $3,150.00 | $3,644.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $509.63 / $782.39 / $2,893.00
| Facility | | $509.63 | $782.39 | $2,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,037.00 / $3,096.00 / $5,565.00
| Facility | | $1,037.00 | $3,096.00 | $5,565.00 |