- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,452.68 / $6,610.95 / $7,622.04
| Facility | | $5,452.68 | $6,610.95 | $7,622.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,812.59 / $8,471.25 / $14,233.86
| Facility | | $7,812.59 | $8,471.25 | $14,233.86 |
- 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
- $4,850.54 / $7,720.72 / $13,251.17
| Facility | | $4,850.54 | $7,720.72 | $13,251.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,156.00 / $5,121.00 / $11,698.16
| Facility | | $2,156.00 | $5,121.00 | $11,698.16 |