- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,396.06 / $8,055.00 / $12,096.23
| Facility | | $1,396.06 | $8,055.00 | $12,096.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,932.00 / $12,272.33 / $22,852.30
| Facility | | $4,932.00 | $12,272.33 | $22,852.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $912.48 / $1,094.98 / $1,355.26
| Facility | | $912.48 | $1,094.98 | $1,355.26 |
- 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
- $2,840.00 / $5,998.00 / $7,847.00
| Facility | | $2,840.00 | $5,998.00 | $7,847.00 |