- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,311.00 / $4,017.17 / $7,602.00
| Facility | | $2,311.00 | $4,017.17 | $7,602.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,121.00 / $2,340.00 / $4,649.00
| Facility | | $1,121.00 | $2,340.00 | $4,649.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $500.00 / $525.00 / $2,284.78
| Facility | | $500.00 | $525.00 | $2,284.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,160.00 / $18,261.75 / $18,678.56
| Facility | | $10,160.00 | $18,261.75 | $18,678.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $875.00 / $2,397.00 / $4,544.00
| Facility | | $875.00 | $2,397.00 | $4,544.00 |