- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,410.00 / $1,410.00 / $7,397.00
| Facility | | $1,410.00 | $1,410.00 | $7,397.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,907.26 / $11,098.97 / $21,650.55
| Facility | | $5,907.26 | $11,098.97 | $21,650.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,489.50 / $4,948.54 / $11,904.39
| Facility | | $3,489.50 | $4,948.54 | $11,904.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,836.71 / $4,524.16 / $9,373.54
| Facility | | $2,836.71 | $4,524.16 | $9,373.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,847.19 / $2,874.81 / $10,533.00
| Facility | | $1,847.19 | $2,874.81 | $10,533.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,940.00 / $8,689.00 / $11,531.00
| Facility | | $3,940.00 | $8,689.00 | $11,531.00 |