- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,293.00 / $4,192.00 / $13,200.00
| Facility | | $1,293.00 | $4,192.00 | $13,200.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,554.74 / $5,677.50 / $8,972.21
| Facility | | $3,554.74 | $5,677.50 | $8,972.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,351.42 / $1,351.42 / $1,351.42
| Facility | | $1,351.42 | $1,351.42 | $1,351.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $408.51 / $577.42 / $5,558.80
| Facility | | $408.51 | $577.42 | $5,558.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $884.00 / $3,317.00 / $5,543.93
| Facility | | $884.00 | $3,317.00 | $5,543.93 |