- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $861.80 / $861.80 / $7,397.00
| Facility | | $861.80 | $861.80 | $7,397.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,993.46 / $6,373.77 / $12,643.17
| Facility | | $3,993.46 | $6,373.77 | $12,643.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,293.48 / $3,252.45 / $7,824.20
| Facility | | $2,293.48 | $3,252.45 | $7,824.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,864.44 / $2,973.52 / $6,160.79
| Facility | | $1,864.44 | $2,973.52 | $6,160.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,237.17 / $1,763.30 / $6,739.00
| Facility | | $1,237.17 | $1,763.30 | $6,739.00 |
- 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 |