- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,965.00 / $4,474.00 / $7,960.15
| Facility | | $1,965.00 | $4,474.00 | $7,960.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,310.70 / $4,903.56 / $8,070.83
| Facility | | $1,310.70 | $4,903.56 | $8,070.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,269.46 / $5,269.46 / $5,269.46
| Facility | | $5,269.46 | $5,269.46 | $5,269.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $350.22 / $2,731.34 / $7,341.00
| Facility | | $350.22 | $2,731.34 | $7,341.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,458.00 / $7,702.00 / $11,396.00
| Facility | | $5,458.00 | $7,702.00 | $11,396.00 |