- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,054.81 / $9,765.84 / $11,259.40
| Facility | | $8,054.81 | $9,765.84 | $11,259.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,890.28 / $12,446.57 / $18,606.34
| Facility | | $9,890.28 | $12,446.57 | $18,606.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $2,554.00 / $3,843.00
| Facility | | $1,252.00 | $2,554.00 | $3,843.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,165.32 / $11,405.21 / $19,574.91
| Facility | | $7,165.32 | $11,405.21 | $19,574.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $16,953.39
| Facility | | $2,332.00 | $5,310.00 | $16,953.39 |