- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,575.50 / $11,984.30 / $16,578.90
| Facility | | $3,575.50 | $11,984.30 | $16,578.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $5,203.14
| Facility | | $1,146.00 | $3,000.00 | $5,203.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,510.72 / $6,232.45 / $11,560.31
| Facility | | $4,510.72 | $6,232.45 | $11,560.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,510.72 / $6,248.64 / $11,560.31
| Facility | | $4,510.72 | $6,248.64 | $11,560.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,360.97 / $7,976.94 / $12,368.37
| Facility | | $3,360.97 | $7,976.94 | $12,368.37 |