- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $461.29 / $1,245.00 / $8,413.00
| Facility | | $461.29 | $1,245.00 | $8,413.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,704.83 / $1,704.83 / $1,729.70
| Facility | | $1,704.83 | $1,704.83 | $1,729.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,591.30 / $1,591.30 / $2,710.28
| Facility | | $1,591.30 | $1,591.30 | $2,710.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $423.13 / $651.13 / $1,076.74
| Facility | | $423.13 | $651.13 | $1,076.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,661.00 / $7,659.00 / $10,502.00
| Facility | | $1,661.00 | $7,659.00 | $10,502.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,053.00 / $2,277.25 / $26,542.00
| Facility | | $2,053.00 | $2,277.25 | $26,542.00 |