- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,421.24 / $2,224.34 / $17,225.00
| Facility | | $1,421.24 | $2,224.34 | $17,225.00 |
- 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
- $1,316.18 / $1,711.03 / $1,974.27
| Facility | | $1,316.18 | $1,711.03 | $1,974.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $761.00 / $761.00 / $1,696.76
| Facility | | $761.00 | $761.00 | $1,696.76 |
- 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 |