- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,127.10 / $2,477.00 / $7,293.00
| Facility | | $1,127.10 | $2,477.00 | $7,293.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,727.30 / $6,727.30 / $8,072.76
| Facility | | $6,727.30 | $6,727.30 | $8,072.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,095.75 / $1,187.52 / $3,598.42
| Facility | | $1,095.75 | $1,187.52 | $3,598.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,967.35 / $4,967.35 / $4,967.35
| Facility | | $4,967.35 | $4,967.35 | $4,967.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,000.00 / $3,635.00 / $8,676.00
| Facility | | $2,000.00 | $3,635.00 | $8,676.00 |