- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,282.64 / $1,282.64 / $1,282.64
| Facility | | $1,282.64 | $1,282.64 | $1,282.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,184.29 / $7,920.94 / $13,020.23
| Facility | | $4,184.29 | $7,920.94 | $13,020.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,166.91 / $4,491.08 / $10,803.89
| Facility | | $3,166.91 | $4,491.08 | $10,803.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,574.46 / $4,105.92 / $8,507.00
| Facility | | $2,574.46 | $4,105.92 | $8,507.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,663.94 / $2,288.94 / $3,680.82
| Facility | | $1,663.94 | $2,288.94 | $3,680.82 |
- 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 |