- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,096.71 / $1,855.83 / $16,042.00
| Facility | | $1,096.71 | $1,855.83 | $16,042.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,641.00 / $10,700.00 / $17,513.00
| Facility | | $3,641.00 | $10,700.00 | $17,513.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,043.34 / $1,356.36 / $2,399.30
| Facility | | $1,043.34 | $1,356.36 | $2,399.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,964.22 / $4,964.22 / $5,884.61
| Facility | | $4,964.22 | $4,964.22 | $5,884.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,472.00 / $10,113.00 / $15,750.00
| Facility | | $4,472.00 | $10,113.00 | $15,750.00 |