- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.60 / $6,363.52 / $7,336.77
| Facility | | $5,248.60 | $6,363.52 | $7,336.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,163.95 / $8,151.06 / $14,024.99
| Facility | | $5,163.95 | $8,151.06 | $14,024.99 |
- 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
- $4,669.00 / $7,431.76 / $12,755.23
| Facility | | $4,669.00 | $7,431.76 | $12,755.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,044.00 / $11,047.02
| Facility | | $2,332.00 | $5,044.00 | $11,047.02 |