- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,758.80 / $9,406.95 / $10,845.70
| Facility | | $7,758.80 | $9,406.95 | $10,845.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,506.55 / $11,553.63 / $21,022.72
| Facility | | $7,506.55 | $11,553.63 | $21,022.72 |
- 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
- $6,902.00 / $10,986.08 / $18,855.55
| Facility | | $6,902.00 | $10,986.08 | $18,855.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $16,330.37
| Facility | | $2,332.00 | $5,310.00 | $16,330.37 |