- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,714.60 / $5,716.11 / $7,510.00
| Facility | | $4,714.60 | $5,716.11 | $7,510.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,861.17 / $6,497.70 / $7,224.78
| Facility | | $3,861.17 | $6,497.70 | $7,224.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,485.00 / $5,462.00
| Facility | | $1,252.00 | $3,485.00 | $5,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,266.29 / $6,944.65 / $11,457.52
| Facility | | $4,266.29 | $6,944.65 | $11,457.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,044.00 / $9,923.10
| Facility | | $2,332.00 | $5,044.00 | $9,923.10 |