- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,937.00 / $13,196.00 / $18,255.09
| Facility | | $3,937.00 | $13,196.00 | $18,255.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $7,461.65
| Facility | | $1,146.00 | $3,000.00 | $7,461.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,966.79 / $6,862.58 / $12,729.11
| Facility | | $4,966.79 | $6,862.58 | $12,729.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,966.79 / $7,086.60 / $12,729.11
| Facility | | $4,966.79 | $7,086.60 | $12,729.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,700.78 / $8,783.45 / $13,618.87
| Facility | | $3,700.78 | $8,783.45 | $13,618.87 |