- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,730.06 / $7,985.13 / $14,051.50
| Facility | | $4,730.06 | $7,985.13 | $14,051.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,035.69 / $4,035.69 / $4,035.69
| Facility | | $4,035.69 | $4,035.69 | $4,035.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,382.49 / $6,468.98 / $9,684.18
| Facility | | $4,382.49 | $6,468.98 | $9,684.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,302.72 / $7,360.34 / $10,595.52
| Facility | | $4,302.72 | $7,360.34 | $10,595.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,606.00 / $48,537.00 / $48,537.00
| Facility | | $7,606.00 | $48,537.00 | $48,537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $7,592.89 / $22,147.00
| Facility | | $2,520.00 | $7,592.89 | $22,147.00 |