- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,394.16 / $7,752.43 / $8,938.10
| Facility | | $6,394.16 | $7,752.43 | $8,938.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,880.11 / $9,695.90 / $15,279.46
| Facility | | $7,880.11 | $9,695.90 | $15,279.46 |
- 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
- $5,688.06 / $9,053.82 / $15,539.19
| Facility | | $5,688.06 | $9,053.82 | $15,539.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,121.00 / $13,458.15
| Facility | | $2,332.00 | $5,121.00 | $13,458.15 |