- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,535.48 / $6,711.34 / $7,737.79
| Facility | | $5,535.48 | $6,711.34 | $7,737.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,557.65 / $8,557.65 / $13,999.26
| Facility | | $8,557.65 | $8,557.65 | $13,999.26 |
- 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
- $4,924.20 / $7,837.97 / $13,452.41
| Facility | | $4,924.20 | $7,837.97 | $13,452.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,121.00 / $11,650.83
| Facility | | $2,332.00 | $5,121.00 | $11,650.83 |