- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,411.00 / $5,297.00 / $9,147.39
| Facility | | $2,411.00 | $5,297.00 | $9,147.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,807.00 / $4,945.58 / $9,678.00
| Facility | | $2,807.00 | $4,945.58 | $9,678.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,020.00 / $2,941.74 / $4,809.92
| Facility | | $1,020.00 | $2,941.74 | $4,809.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $735.56 / $1,023.56 / $2,255.33
| Facility | | $735.56 | $1,023.56 | $2,255.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,481.92 / $8,481.92 / $8,481.92
| Facility | | $8,481.92 | $8,481.92 | $8,481.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $833.00 / $6,303.00 / $9,973.00
| Facility | | $833.00 | $6,303.00 | $9,973.00 |