- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,185.00 / $6,700.77 / $11,946.30
| Facility | | $2,185.00 | $6,700.77 | $11,946.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,264.00 / $6,541.32 / $9,581.26
| Facility | | $4,264.00 | $6,541.32 | $9,581.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,006.91 / $6,431.97 / $11,015.36
| Facility | | $3,006.91 | $6,431.97 | $11,015.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,620.58 / $6,244.88 / $8,878.73
| Facility | | $5,620.58 | $6,244.88 | $8,878.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,952.00 / $7,736.54 / $19,409.50
| Facility | | $3,952.00 | $7,736.54 | $19,409.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,952.00 / $7,540.99 / $10,339.24
| Facility | | $3,952.00 | $7,540.99 | $10,339.24 |