- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,653.00 / $5,463.36 / $13,841.56
| Facility | | $1,653.00 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,952.65 / $9,144.62 / $17,688.66
| Facility | | $6,952.65 | $9,144.62 | $17,688.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $917.62 / $1,591.25 / $7,221.00
| Facility | | $917.62 | $1,591.25 | $7,221.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,114.05 / $2,220.84 / $3,135.80
| Facility | | $1,114.05 | $2,220.84 | $3,135.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |