- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $827.58 / $827.58 / $827.58
| Facility | | $827.58 | $827.58 | $827.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,874.10 / $6,558.36 / $12,629.62
| Facility | | $3,874.10 | $6,558.36 | $12,629.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,050.91 / $2,908.45 / $6,996.67
| Facility | | $2,050.91 | $2,908.45 | $6,996.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,667.24 / $2,659.02 / $5,509.19
| Facility | | $1,667.24 | $2,659.02 | $5,509.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,029.55 / $1,590.56 / $3,378.00
| Facility | | $1,029.55 | $1,590.56 | $3,378.00 |
- 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 |