- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,848.80 / $2,048.33 / $4,846.00
| Facility | | $1,848.80 | $2,048.33 | $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
- $1,706.94 / $2,219.02 / $2,560.41
| Facility | | $1,706.94 | $2,219.02 | $2,560.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $761.00 / $761.00 / $2,207.21
| Facility | | $761.00 | $761.00 | $2,207.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $612.00 / $5,076.00 / $12,027.00
| Facility | | $612.00 | $5,076.00 | $12,027.00 |