- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,370.37 / $10,148.40 / $11,700.60
| Facility | | $8,370.37 | $10,148.40 | $11,700.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,429.01 / $12,832.11 / $20,170.82
| Facility | | $10,429.01 | $12,832.11 | $20,170.82 |
- 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
- $7,446.04 / $11,852.04 / $20,341.81
| Facility | | $7,446.04 | $11,852.04 | $20,341.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $17,617.59
| Facility | | $2,332.00 | $5,310.00 | $17,617.59 |