- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,358.36 / $1,358.36 / $1,358.36
| Facility | | $1,358.36 | $1,358.36 | $1,358.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,297.38 / $24,536.18 / $48,429.15
| Facility | | $14,297.38 | $24,536.18 | $48,429.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,347.16 / $4,746.68 / $11,418.79
| Facility | | $3,347.16 | $4,746.68 | $11,418.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,721.00 / $4,339.60 / $8,991.18
| Facility | | $2,721.00 | $4,339.60 | $8,991.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,844.54 / $2,414.79 / $3,500.00
| Facility | | $1,844.54 | $2,414.79 | $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 |