- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,184.96 / $1,184.96 / $1,184.96
| Facility | | $1,184.96 | $1,184.96 | $1,184.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,530.68 / $7,577.59 / $14,098.13
| Facility | | $4,530.68 | $7,577.59 | $14,098.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,004.36 / $4,260.55 / $10,249.33
| Facility | | $3,004.36 | $4,260.55 | $10,249.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,442.32 / $3,895.16 / $8,070.34
| Facility | | $2,442.32 | $3,895.16 | $8,070.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,674.30 / $2,150.27 / $3,500.00
| Facility | | $1,674.30 | $2,150.27 | $3,500.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,751.00 / $3,500.00 / $8,152.00
| Facility | | $1,751.00 | $3,500.00 | $8,152.00 |