- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $420.47 / $3,038.33 / $9,210.93
| Facility | | $420.47 | $3,038.33 | $9,210.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,754.00 / $5,948.00 / $9,462.00
| Facility | | $2,754.00 | $5,948.00 | $9,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $376.04 / $512.78 / $769.17
| Facility | | $376.04 | $512.78 | $769.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,218.40 / $2,218.40 / $2,218.40
| Facility | | $2,218.40 | $2,218.40 | $2,218.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,148.00 / $6,094.00 / $12,090.00
| Facility | | $2,148.00 | $6,094.00 | $12,090.00 |