- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,521.30 / $7,906.58 / $9,115.82
| Facility | | $6,521.30 | $7,906.58 | $9,115.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,451.62 / $6,451.62 / $10,139.20
| Facility | | $6,451.62 | $6,451.62 | $10,139.20 |
- 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
- $5,801.16 / $9,233.85 / $15,848.17
| Facility | | $5,801.16 | $9,233.85 | $15,848.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,199.04 / $13,725.74
| Facility | | $2,332.00 | $5,199.04 | $13,725.74 |