- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,886.42 / $8,349.26 / $9,626.20
| Facility | | $6,886.42 | $8,349.26 | $9,626.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,782.57 / $9,638.48 / $17,336.54
| Facility | | $6,782.57 | $9,638.48 | $17,336.54 |
- 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
- $6,125.96 / $9,750.84 / $16,735.49
| Facility | | $6,125.96 | $9,750.84 | $16,735.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $14,494.23
| Facility | | $2,332.00 | $5,310.00 | $14,494.23 |