- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,318.00 / $6,953.00 / $10,354.40
| Facility | | $2,318.00 | $6,953.00 | $10,354.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,507.85 / $8,326.17 / $9,711.60
| Facility | | $4,507.85 | $8,326.17 | $9,711.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,405.00 / $7,047.49 / $11,091.30
| Facility | | $4,405.00 | $7,047.49 | $11,091.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,449.72 / $7,052.13 / $12,546.86
| Facility | | $4,449.72 | $7,052.13 | $12,546.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,730.00 / $6,174.47 / $14,836.69
| Facility | | $1,730.00 | $6,174.47 | $14,836.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,730.00 / $5,535.18 / $10,740.01
| Facility | | $1,730.00 | $5,535.18 | $10,740.01 |