- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,382.00 / $8,477.27 / $19,276.96
| Facility | | $4,382.00 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,779.83 / $7,833.15 / $14,704.82
| Facility | | $5,779.83 | $7,833.15 | $14,704.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.88 / $656.18 / $7,934.00
| Facility | | $371.88 | $656.18 | $7,934.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $696.20 / $927.95 / $4,164.35
| Facility | | $696.20 | $927.95 | $4,164.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,711.00 / $5,356.00 / $7,772.00
| Facility | | $3,711.00 | $5,356.00 | $7,772.00 |