- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,135.49 / $8,651.23 / $9,974.36
| Facility | | $7,135.49 | $8,651.23 | $9,974.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,805.78 / $10,908.60 / $16,415.32
| Facility | | $10,805.78 | $10,908.60 | $16,415.32 |
- 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
- $6,347.52 / $10,103.50 / $17,340.77
| Facility | | $6,347.52 | $10,103.50 | $17,340.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $15,018.45
| Facility | | $2,332.00 | $5,310.00 | $15,018.45 |