- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $964.99 / $964.99 / $11,279.10
| Facility | | $964.99 | $964.99 | $11,279.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,022.87 / $16,706.72 / $36,581.76
| Facility | | $5,022.87 | $16,706.72 | $36,581.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,248.44 / $3,509.25 / $8,441.98
| Facility | | $2,248.44 | $3,509.25 | $8,441.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,948.48 / $3,202.42 / $6,647.23
| Facility | | $1,948.48 | $3,202.42 | $6,647.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,056.36 / $1,770.52 / $3,437.00
| Facility | | $1,056.36 | $1,770.52 | $3,437.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,437.00 / $10,743.00 / $27,204.68
| Facility | | $3,437.00 | $10,743.00 | $27,204.68 |