- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,100.76 / $7,396.71 / $8,527.96
| Facility | | $6,100.76 | $7,396.71 | $8,527.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,522.57 / $9,378.95 / $16,624.06
| Facility | | $8,522.57 | $9,378.95 | $16,624.06 |
- 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
- $5,427.06 / $8,638.37 / $14,826.17
| Facility | | $5,427.06 | $8,638.37 | $14,826.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,044.00 / $12,840.61
| Facility | | $2,332.00 | $5,044.00 | $12,840.61 |