- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $559.34 / $559.34 / $2,525.00
| Facility | | $559.34 | $559.34 | $2,525.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,088.76 / $4,376.30 / $9,046.11
| Facility | | $2,088.76 | $4,376.30 | $9,046.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,365.45 / $1,937.37 / $4,660.60
| Facility | | $1,365.45 | $1,937.37 | $4,660.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,241.32 / $1,771.22 / $3,669.78
| Facility | | $1,241.32 | $1,771.22 | $3,669.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $531.38 / $959.02 / $2,523.00
| Facility | | $531.38 | $959.02 | $2,523.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,388.00 / $3,500.00 / $6,361.00
| Facility | | $1,388.00 | $3,500.00 | $6,361.00 |