- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,006.88 / $1,006.88 / $8,881.00
| Facility | | $1,006.88 | $1,006.88 | $8,881.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,651.91 / $9,560.76 / $20,316.56
| Facility | | $4,651.91 | $9,560.76 | $20,316.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,244.63 / $3,183.17 / $7,657.54
| Facility | | $2,244.63 | $3,183.17 | $7,657.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,824.73 / $2,910.18 / $6,029.56
| Facility | | $1,824.73 | $2,910.18 | $6,029.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,377.52 / $2,021.73 / $12,367.00
| Facility | | $1,377.52 | $2,021.73 | $12,367.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,913.00 / $12,722.00 / $17,883.81
| Facility | | $5,913.00 | $12,722.00 | $17,883.81 |