- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,220.66 / $1,220.66 / $5,618.00
| Facility | | $1,220.66 | $1,220.66 | $5,618.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,184.29 / $7,450.95 / $13,020.23
| Facility | | $4,184.29 | $7,450.95 | $13,020.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,009.41 / $4,267.72 / $10,266.57
| Facility | | $3,009.41 | $4,267.72 | $10,266.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,446.42 / $3,901.72 / $8,083.91
| Facility | | $2,446.42 | $3,901.72 | $8,083.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,631.65 / $2,496.15 / $9,370.00
| Facility | | $1,631.65 | $2,496.15 | $9,370.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,445.00 / $5,577.00 / $12,722.00
| Facility | | $1,445.00 | $5,577.00 | $12,722.00 |