- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,041.54 / $1,176.10 / $8,229.00
| Facility | | $1,041.54 | $1,176.10 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,923.72 / $7,537.12 / $11,845.28
| Facility | | $3,923.72 | $7,537.12 | $11,845.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,020.28 / $1,400.38 / $1,615.44
| Facility | | $1,020.28 | $1,400.38 | $1,615.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,234.00 / $1,234.00 / $1,234.00
| Facility | | $1,234.00 | $1,234.00 | $1,234.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $405.00 / $2,513.00 / $27,879.00
| Facility | | $405.00 | $2,513.00 | $27,879.00 |