- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,290.17 / $1,411.01 / $4,846.00
| Facility | | $1,290.17 | $1,411.01 | $4,846.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,838.00 / $16,821.03 / $25,253.12
| Facility | | $4,838.00 | $16,821.03 | $25,253.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,199.35 / $1,528.59 / $1,763.76
| Facility | | $1,199.35 | $1,528.59 | $1,763.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $761.00 / $761.00 / $1,461.82
| Facility | | $761.00 | $761.00 | $1,461.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $612.00 / $5,076.00 / $10,396.00
| Facility | | $612.00 | $5,076.00 | $10,396.00 |