- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,615.00 / $3,818.93 / $10,561.00
| Facility | | $1,615.00 | $3,818.93 | $10,561.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,510.35 / $4,510.35 / $4,576.17
| Facility | | $4,510.35 | $4,510.35 | $4,576.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $606.10 / $606.10 / $6,025.59
| Facility | | $606.10 | $606.10 | $6,025.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,927.24 / $3,648.00 / $5,798.74
| Facility | | $2,927.24 | $3,648.00 | $5,798.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,015.00 / $15,545.00 / $22,780.00
| Facility | | $4,015.00 | $15,545.00 | $22,780.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,000.00 / $30,593.61 / $30,593.61
| Facility | | $2,000.00 | $30,593.61 | $30,593.61 |