- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,627.52 / $10,868.00 / $17,247.00
| Facility | | $1,627.52 | $10,868.00 | $17,247.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,939.32 / $9,950.93 / $16,952.09
| Facility | | $3,939.32 | $9,950.93 | $16,952.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,130.00 / $3,711.96 / $4,769.93
| Facility | | $1,130.00 | $3,711.96 | $4,769.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,386.94 / $1,769.26 / $3,160.10
| Facility | | $1,386.94 | $1,769.26 | $3,160.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,298.00 / $17,333.00 / $25,628.00
| Facility | | $6,298.00 | $17,333.00 | $25,628.00 |