- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,123.23 / $7,114.79 / $11,627.00
| Facility | | $1,123.23 | $7,114.79 | $11,627.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,554.00 / $12,455.21 / $21,287.94
| Facility | | $3,554.00 | $12,455.21 | $21,287.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,065.13 / $1,278.16 / $1,582.00
| Facility | | $1,065.13 | $1,278.16 | $1,582.00 |
- 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
- $3,206.00 / $6,578.00 / $10,075.00
| Facility | | $3,206.00 | $6,578.00 | $10,075.00 |