- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,386.00 / $2,275.92 / $11,093.00
| Facility | | $1,386.00 | $2,275.92 | $11,093.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,600.00 / $8,980.45 / $14,278.45
| Facility | | $4,600.00 | $8,980.45 | $14,278.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,929.10 / $2,458.65 / $2,836.91
| Facility | | $1,929.10 | $2,458.65 | $2,836.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $761.00 / $761.00 / $2,393.94
| Facility | | $761.00 | $761.00 | $2,393.94 |
- 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 |