- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,222.20 / $8,756.37 / $10,095.60
| Facility | | $7,222.20 | $8,756.37 | $10,095.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,207.42 / $11,044.20 / $17,782.25
| Facility | | $10,207.42 | $11,044.20 | $17,782.25 |
- 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
- $6,424.66 / $10,226.29 / $17,551.50
| Facility | | $6,424.66 | $10,226.29 | $17,551.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $15,200.97
| Facility | | $2,332.00 | $5,310.00 | $15,200.97 |