- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,434.74 / $1,434.74 / $1,434.74
| Facility | | $1,434.74 | $1,434.74 | $1,434.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,142.55 / $8,679.34 / $13,890.67
| Facility | | $4,142.55 | $8,679.34 | $13,890.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,348.19 / $5,225.64 / $12,571.02
| Facility | | $3,348.19 | $5,225.64 | $12,571.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,901.50 / $4,768.75 / $9,898.44
| Facility | | $2,901.50 | $4,768.75 | $9,898.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,424.81 / $2,424.71 / $4,472.74
| Facility | | $1,424.81 | $2,424.71 | $4,472.74 |
- 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 |