- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,385.74 / $1,538.20 / $4,846.00
| Facility | | $1,385.74 | $1,538.20 | $4,846.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,600.00 / $11,226.46 / $15,429.17
| Facility | | $4,600.00 | $11,226.46 | $15,429.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,307.47 / $1,666.38 / $1,922.75
| Facility | | $1,307.47 | $1,666.38 | $1,922.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $761.00 / $761.00 / $1,651.99
| Facility | | $761.00 | $761.00 | $1,651.99 |
- 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 |