- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,615.01 / $1,615.01 / $1,615.01
| Facility | | $1,615.01 | $1,615.01 | $1,615.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,466.88 / $11,763.30 / $23,333.99
| Facility | | $7,466.88 | $11,763.30 | $23,333.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,767.57 / $5,880.20 / $14,145.63
| Facility | | $3,767.57 | $5,880.20 | $14,145.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,264.93 / $5,366.07 / $11,138.29
| Facility | | $3,264.93 | $5,366.07 | $11,138.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,616.02 / $2,798.36 / $5,012.64
| Facility | | $1,616.02 | $2,798.36 | $5,012.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $796.00 / $3,500.00 / $8,152.00
| Facility | | $796.00 | $3,500.00 | $8,152.00 |