- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,959.55 / $5,463.55 / $9,144.04
| Facility | | $3,959.55 | $5,463.55 | $9,144.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,819.32 / $8,819.32 / $8,819.32
| Facility | | $8,819.32 | $8,819.32 | $8,819.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,423.00 / $6,261.63 / $9,477.15
| Facility | | $2,423.00 | $6,261.63 | $9,477.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,052.57 / $6,146.73 / $10,308.03
| Facility | | $4,052.57 | $6,146.73 | $10,308.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,600.00 / $4,960.75 / $11,030.80
| Facility | | $2,600.00 | $4,960.75 | $11,030.80 |