- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,671.00 / $4,474.00 / $8,447.00
| Facility | | $1,671.00 | $4,474.00 | $8,447.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,341.54 / $5,501.86 / $8,070.83
| Facility | | $1,341.54 | $5,501.86 | $8,070.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,599.47 / $3,599.47 / $3,599.47
| Facility | | $3,599.47 | $3,599.47 | $3,599.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $221.76 / $373.19 / $6,124.00
| Facility | | $221.76 | $373.19 | $6,124.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $4,545.00 / $7,217.00
| Facility | | $2,912.00 | $4,545.00 | $7,217.00 |