- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.00 / $9,714.00 / $21,032.00
| Facility | | $2,137.00 | $9,714.00 | $21,032.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,561.94 / $1,791.53 / $2,332.92
| Facility | | $1,561.94 | $1,791.53 | $2,332.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,676.48 / $3,301.00 / $6,710.00
| Facility | | $1,676.48 | $3,301.00 | $6,710.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $711.00 / $1,175.00 / $3,181.00
| Facility | | $711.00 | $1,175.00 | $3,181.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,264.00 / $2,307.00 / $6,282.00
| Facility | | $1,264.00 | $2,307.00 | $6,282.00 |