- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,090.81 / $1,203.97 / $4,846.00
| Facility | | $1,090.81 | $1,203.97 | $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
- $1,003.31 / $1,304.30 / $1,504.97
| Facility | | $1,003.31 | $1,304.30 | $1,504.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $761.00 / $761.00 / $1,292.00
| Facility | | $761.00 | $761.00 | $1,292.00 |
- 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 |