- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.14 / $3,869.00 / $13,004.00
| Facility | | $1,148.14 | $3,869.00 | $13,004.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,380.77 / $5,918.41 / $11,607.72
| Facility | | $3,380.77 | $5,918.41 | $11,607.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $959.89 / $959.89 / $1,002.60
| Facility | | $959.89 | $959.89 | $1,002.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,500.00 / $26,542.00 / $26,542.00
| Facility | | $11,500.00 | $26,542.00 | $26,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,037.08 / $1,317.36 / $2,176.42
| Facility | | $1,037.08 | $1,317.36 | $2,176.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,058.18 / $1,338.58 / $2,274.62
| Facility | | $1,058.18 | $1,338.58 | $2,274.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,093.00 / $5,958.00 / $13,134.00
| Facility | | $2,093.00 | $5,958.00 | $13,134.00 |