- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $872.43 / $872.43 / $7,397.00
| Facility | | $872.43 | $872.43 | $7,397.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,974.51 / $6,373.77 / $12,594.12
| Facility | | $3,974.51 | $6,373.77 | $12,594.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,325.48 / $3,297.84 / $7,933.39
| Facility | | $2,325.48 | $3,297.84 | $7,933.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,890.46 / $3,015.01 / $6,246.76
| Facility | | $1,890.46 | $3,015.01 | $6,246.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,082.78 / $1,783.22 / $6,652.00
| Facility | | $1,082.78 | $1,783.22 | $6,652.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,293.00 / $6,652.00 / $9,810.00
| Facility | | $3,293.00 | $6,652.00 | $9,810.00 |