- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,182.51 / $2,794.39 / $7,602.00
| Facility | | $1,182.51 | $2,794.39 | $7,602.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,678.00 / $3,744.00 / $5,774.00
| Facility | | $1,678.00 | $3,744.00 | $5,774.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $689.98 / $2,120.51 / $3,559.00
| Facility | | $689.98 | $2,120.51 | $3,559.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,842.35 / $9,558.29 / $26,542.00
| Facility | | $2,842.35 | $9,558.29 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,016.00 / $4,439.00 / $8,120.00
| Facility | | $2,016.00 | $4,439.00 | $8,120.00 |