- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,386.42 / $3,445.00 / $10,635.00
| Facility | | $1,386.42 | $3,445.00 | $10,635.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,622.00 / $3,287.00 / $14,996.00
| Facility | | $1,622.00 | $3,287.00 | $14,996.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $846.12 / $923.04 / $1,344.08
| Facility | | $846.12 | $923.04 | $1,344.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,088.75 / $1,088.75 / $1,088.75
| Facility | | $1,088.75 | $1,088.75 | $1,088.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,689.00 / $2,600.00 / $5,235.00
| Facility | | $1,689.00 | $2,600.00 | $5,235.00 |