- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,747.00 / $3,491.31 / $8,229.00
| Facility | | $2,747.00 | $3,491.31 | $8,229.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,049.25 / $9,122.94 / $15,243.15
| Facility | | $5,049.25 | $9,122.94 | $15,243.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,237.40 / $4,443.49 / $5,125.88
| Facility | | $3,237.40 | $4,443.49 | $5,125.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,886.94 / $3,886.94 / $3,886.94
| Facility | | $3,886.94 | $3,886.94 | $3,886.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $405.00 / $2,513.00 / $27,879.00
| Facility | | $405.00 | $2,513.00 | $27,879.00 |