- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,248.64 / $7,124.00 / $16,824.05
| Facility | | $4,248.64 | $7,124.00 | $16,824.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,657.61 / $6,468.11 / $10,990.08
| Facility | | $2,657.61 | $6,468.11 | $10,990.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $580.00 / $784.14 / $2,581.96
| Facility | | $580.00 | $784.14 | $2,581.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $778.94 / $926.00 / $1,693.00
| Facility | | $778.94 | $926.00 | $1,693.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,388.09 / $12,269.00 / $19,591.00
| Facility | | $2,388.09 | $12,269.00 | $19,591.00 |