- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,375.00 / $6,251.00 / $11,581.00
| Facility | | $1,375.00 | $6,251.00 | $11,581.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,084.00 / $4,437.00 / $19,117.00
| Facility | | $2,084.00 | $4,437.00 | $19,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $979.35 / $1,175.22 / $1,836.29
| Facility | | $979.35 | $1,175.22 | $1,836.29 |
- 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
- $3,879.00 / $5,726.00 / $9,483.00
| Facility | | $3,879.00 | $5,726.00 | $9,483.00 |