- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,382.00 / $8,355.33 / $16,762.57
| Facility | | $4,382.00 | $8,355.33 | $16,762.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,279.80 / $7,654.23 / $13,432.67
| Facility | | $5,279.80 | $7,654.23 | $13,432.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $343.31 / $600.79 / $2,361.42
| Facility | | $343.31 | $600.79 | $2,361.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $689.65 / $888.49 / $1,622.05
| Facility | | $689.65 | $888.49 | $1,622.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,044.00 / $3,726.00 / $7,934.00
| Facility | | $3,044.00 | $3,726.00 | $7,934.00 |