- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,226.52 / $1,226.52 / $11,009.00
| Facility | | $1,226.52 | $1,226.52 | $11,009.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,444.42 / $10,555.91 / $21,131.14
| Facility | | $5,444.42 | $10,555.91 | $21,131.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,714.62 / $3,849.66 / $9,260.89
| Facility | | $2,714.62 | $3,849.66 | $9,260.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,206.79 / $3,519.52 / $7,292.04
| Facility | | $2,206.79 | $3,519.52 | $7,292.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,751.00 / $2,242.86 / $3,500.00
| Facility | | $1,751.00 | $2,242.86 | $3,500.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,751.00 / $3,500.00 / $8,152.00
| Facility | | $1,751.00 | $3,500.00 | $8,152.00 |