- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,884.95 / $7,135.05 / $8,226.29
| Facility | | $5,884.95 | $7,135.05 | $8,226.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,047.48 / $9,064.50 / $11,676.47
| Facility | | $8,047.48 | $9,064.50 | $11,676.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,485.00 / $5,462.00
| Facility | | $1,252.00 | $3,485.00 | $5,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,235.08 / $8,332.79 / $14,301.70
| Facility | | $5,235.08 | $8,332.79 | $14,301.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,044.00 / $12,386.38
| Facility | | $2,332.00 | $5,044.00 | $12,386.38 |