- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,720.82 / $8,148.47 / $9,394.70
| Facility | | $6,720.82 | $8,148.47 | $9,394.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,934.31 / $9,934.31 / $10,251.54
| Facility | | $9,934.31 | $9,934.31 | $10,251.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,067.00 / $4,334.00
| Facility | | $1,252.00 | $3,067.00 | $4,334.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,978.64 / $9,516.35 / $16,333.03
| Facility | | $5,978.64 | $9,516.35 | $16,333.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $14,145.67
| Facility | | $2,332.00 | $5,310.00 | $14,145.67 |