- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,463.44 / $9,048.85 / $10,432.79
| Facility | | $7,463.44 | $9,048.85 | $10,432.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,052.08 / $11,052.08 / $17,917.07
| Facility | | $11,052.08 | $11,052.08 | $17,917.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,702.00 / $6,578.00
| Facility | | $1,252.00 | $3,702.00 | $6,578.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,639.26 / $10,567.87 / $18,137.77
| Facility | | $6,639.26 | $10,567.87 | $18,137.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $10,548.41 / $15,969.71
| Facility | | $3,137.00 | $10,548.41 | $15,969.71 |