- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,094.70 / $5,355.00 / $10,817.74
| Facility | | $1,094.70 | $5,355.00 | $10,817.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,807.00 / $8,566.00 / $60,320.00
| Facility | | $2,807.00 | $8,566.00 | $60,320.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $677.96 / $813.55 / $1,006.94
| Facility | | $677.96 | $813.55 | $1,006.94 |
- 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
- $4,524.00 / $11,766.00 / $20,348.00
| Facility | | $4,524.00 | $11,766.00 | $20,348.00 |