- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,045.59 / $2,687.19 / $11,093.00
| Facility | | $1,045.59 | $2,687.19 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,065.00 / $7,890.00 / $37,919.46
| Facility | | $3,065.00 | $7,890.00 | $37,919.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,027.61 / $1,335.91 / $1,541.43
| Facility | | $1,027.61 | $1,335.91 | $1,541.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,284.26 / $11,284.26 / $13,376.38
| Facility | | $11,284.26 | $11,284.26 | $13,376.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,932.00 / $8,348.00 / $12,569.00
| Facility | | $3,932.00 | $8,348.00 | $12,569.00 |