- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $546.84 / $546.84 / $4,828.00
| Facility | | $546.84 | $546.84 | $4,828.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,727.41 / $12,197.67 / $25,424.06
| Facility | | $2,727.41 | $12,197.67 | $25,424.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,340.19 / $1,901.54 / $4,574.41
| Facility | | $1,340.19 | $1,901.54 | $4,574.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,218.35 / $1,738.46 / $3,601.90
| Facility | | $1,218.35 | $1,738.46 | $3,601.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $550.35 / $941.60 / $4,273.00
| Facility | | $550.35 | $941.60 | $4,273.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,940.00 / $7,872.00 / $11,531.00
| Facility | | $3,940.00 | $7,872.00 | $11,531.00 |