- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.41 / $2,115.48 / $10,985.00
| Facility | | $1,286.41 | $2,115.48 | $10,985.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,044.00 / $10,366.00 / $28,794.00
| Facility | | $5,044.00 | $10,366.00 | $28,794.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,330.00 / $1,877.66 / $2,816.49
| Facility | | $1,330.00 | $1,877.66 | $2,816.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,561.47 / $6,561.47 / $6,561.47
| Facility | | $6,561.47 | $6,561.47 | $6,561.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,431.00 / $12,296.00 / $17,380.00
| Facility | | $5,431.00 | $12,296.00 | $17,380.00 |