- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,434.00 / $2,214.25 / $7,293.00
| Facility | | $1,434.00 | $2,214.25 | $7,293.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,270.62 / $22,270.62 / $26,724.74
| Facility | | $22,270.62 | $22,270.62 | $26,724.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,886.59 / $2,049.40 / $5,875.03
| Facility | | $1,886.59 | $2,049.40 | $5,875.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,967.35 / $4,967.35 / $4,967.35
| Facility | | $4,967.35 | $4,967.35 | $4,967.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,104.00 / $4,334.00 / $8,676.00
| Facility | | $2,104.00 | $4,334.00 | $8,676.00 |