- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,374.77 / $8,941.35 / $10,308.79
| Facility | | $7,374.77 | $8,941.35 | $10,308.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,355.51 / $11,355.51 / $11,355.51
| Facility | | $11,355.51 | $11,355.51 | $11,355.51 |
- 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
- $6,560.38 / $10,442.32 / $17,922.28
| Facility | | $6,560.38 | $10,442.32 | $17,922.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $15,522.09
| Facility | | $2,332.00 | $5,310.00 | $15,522.09 |