- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $485.67 / $4,975.07 / $9,666.79
| Facility | | $485.67 | $4,975.07 | $9,666.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,536.00 / $7,833.00 / $14,645.00
| Facility | | $3,536.00 | $7,833.00 | $14,645.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $434.35 / $592.29 / $888.44
| Facility | | $434.35 | $592.29 | $888.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,258.41 / $2,258.41 / $2,258.41
| Facility | | $2,258.41 | $2,258.41 | $2,258.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,932.00 / $8,025.00 / $11,038.00
| Facility | | $3,932.00 | $8,025.00 | $11,038.00 |