- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,266.65 / $5,866.00 / $16,467.00
| Facility | | $1,266.65 | $5,866.00 | $16,467.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,808.51 / $8,455.28 / $14,557.93
| Facility | | $3,808.51 | $8,455.28 | $14,557.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $780.00 / $1,219.94 / $5,051.60
| Facility | | $780.00 | $1,219.94 | $5,051.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,228.35 / $1,555.84 / $2,450.92
| Facility | | $1,228.35 | $1,555.84 | $2,450.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,912.00 / $16,223.00 / $23,485.00
| Facility | | $2,912.00 | $16,223.00 | $23,485.00 |