- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,048.00 / $3,803.00 / $12,600.00
| Facility | | $1,048.00 | $3,803.00 | $12,600.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,873.50 / $12,508.22 / $19,762.84
| Facility | | $7,873.50 | $12,508.22 | $19,762.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,173.28 / $8,173.28 / $8,173.28
| Facility | | $8,173.28 | $8,173.28 | $8,173.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $832.89 / $1,194.52 / $14,063.00
| Facility | | $832.89 | $1,194.52 | $14,063.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,851.00 / $7,074.00 / $14,587.03
| Facility | | $1,851.00 | $7,074.00 | $14,587.03 |