- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,382.00 / $8,477.27 / $19,276.96
| Facility | | $4,382.00 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,503.12 / $7,458.15 / $14,000.85
| Facility | | $5,503.12 | $7,458.15 | $14,000.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $972.16 / $1,743.46 / $10,247.57
| Facility | | $972.16 | $1,743.46 | $10,247.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,775.00 / $2,269.86 / $3,080.54
| Facility | | $1,775.00 | $2,269.86 | $3,080.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |