- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,335.72 / $1,335.72 / $8,074.00
| Facility | | $1,335.72 | $1,335.72 | $8,074.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,759.02 / $6,932.26 / $14,449.17
| Facility | | $2,759.02 | $6,932.26 | $14,449.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,102.14 / $4,401.49 / $10,588.39
| Facility | | $3,102.14 | $4,401.49 | $10,588.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,523.12 / $4,024.02 / $8,337.31
| Facility | | $2,523.12 | $4,024.02 | $8,337.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,384.47 / $2,362.25 / $9,699.73
| Facility | | $1,384.47 | $2,362.25 | $9,699.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,483.00 / $7,112.00 / $11,165.00
| Facility | | $4,483.00 | $7,112.00 | $11,165.00 |