- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,332.22 / $7,677.34 / $8,851.52
| Facility | | $6,332.22 | $7,677.34 | $8,851.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,440.36 / $9,474.86 / $15,399.06
| Facility | | $8,440.36 | $9,474.86 | $15,399.06 |
- 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
- $5,632.96 / $8,966.12 / $15,388.66
| Facility | | $5,632.96 | $8,966.12 | $15,388.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,156.00 / $5,121.00 / $13,585.15
| Facility | | $2,156.00 | $5,121.00 | $13,585.15 |