- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,114.00 / $6,074.00 / $12,473.00
| Facility | | $2,114.00 | $6,074.00 | $12,473.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $782.25 / $3,208.13 / $4,706.10
| Facility | | $782.25 | $3,208.13 | $4,706.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,279.00 / $11,788.00 / $18,040.00
| Facility | | $8,279.00 | $11,788.00 | $18,040.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $608.41 / $1,024.16 / $30,633.00
| Facility | | $608.41 | $1,024.16 | $30,633.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,714.00 / $18,726.00 / $82,737.00
| Facility | | $5,714.00 | $18,726.00 | $82,737.00 |