- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,346.00 / $4,756.00 / $13,200.00
| Facility | | $1,346.00 | $4,756.00 | $13,200.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,276.54 / $14,509.07 / $22,756.67
| Facility | | $9,276.54 | $14,509.07 | $22,756.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,693.54 / $10,693.54 / $10,693.54
| Facility | | $10,693.54 | $10,693.54 | $10,693.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,170.82 / $1,601.93 / $14,063.00
| Facility | | $1,170.82 | $1,601.93 | $14,063.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,851.00 / $7,074.00 / $14,139.00
| Facility | | $1,851.00 | $7,074.00 | $14,139.00 |