- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,308.27 / $8,860.70 / $10,215.90
| Facility | | $7,308.27 | $8,860.70 | $10,215.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,403.17 / $15,927.79 / $17,285.33
| Facility | | $11,403.17 | $15,927.79 | $17,285.33 |
- 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
- $6,501.22 / $10,348.15 / $17,760.66
| Facility | | $6,501.22 | $10,348.15 | $17,760.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $15,382.11
| Facility | | $2,332.00 | $5,310.00 | $15,382.11 |