- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,463.93 / $5,135.00 / $11,627.00
| Facility | | $1,463.93 | $5,135.00 | $11,627.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,142.00 / $12,455.21 / $21,287.94
| Facility | | $4,142.00 | $12,455.21 | $21,287.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,387.14 / $1,664.57 / $2,060.27
| Facility | | $1,387.14 | $1,664.57 | $2,060.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,480.00 / $3,086.00 / $6,111.00
| Facility | | $1,480.00 | $3,086.00 | $6,111.00 |