- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,532.00 / $15,190.30 / $21,014.00
| Facility | | $4,532.00 | $15,190.30 | $21,014.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $2,199.05 / $3,496.59
| Facility | | $1,146.00 | $2,199.05 | $3,496.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,717.42 / $7,899.73 / $14,652.86
| Facility | | $5,717.42 | $7,899.73 | $14,652.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,717.42 / $7,899.73 / $14,652.86
| Facility | | $5,717.42 | $7,899.73 | $14,652.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,260.08 / $10,110.89 / $15,677.09
| Facility | | $4,260.08 | $10,110.89 | $15,677.09 |