- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,293.76 / $7,630.70 / $8,797.74
| Facility | | $6,293.76 | $7,630.70 | $8,797.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,131.07 / $9,502.14 / $13,734.20
| Facility | | $6,131.07 | $9,502.14 | $13,734.20 |
- 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
- $5,598.74 / $8,911.65 / $15,295.18
| Facility | | $5,598.74 | $8,911.65 | $15,295.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,067.83 / $13,246.81
| Facility | | $2,332.00 | $5,067.83 | $13,246.81 |