- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,076.48 / $8,037.00 / $11,754.00
| Facility | | $2,076.48 | $8,037.00 | $11,754.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,097.00 / $7,982.00 / $36,529.00
| Facility | | $2,097.00 | $7,982.00 | $36,529.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,677.74 / $2,056.85 / $13,882.23
| Facility | | $1,677.74 | $2,056.85 | $13,882.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,560.74 / $10,227.32 / $21,571.00
| Facility | | $1,560.74 | $10,227.32 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,227.32 / $10,227.32 / $11,404.66
| Facility | | $10,227.32 | $10,227.32 | $11,404.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,070.00 / $9,390.00 / $12,907.04
| Facility | | $4,070.00 | $9,390.00 | $12,907.04 |