- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,823.66 / $7,060.75 / $8,140.62
| Facility | | $5,823.66 | $7,060.75 | $8,140.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,594.91 / $7,594.91 / $8,495.09
| Facility | | $7,594.91 | $7,594.91 | $8,495.09 |
- 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
- $5,180.56 / $8,246.02 / $14,152.75
| Facility | | $5,180.56 | $8,246.02 | $14,152.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,044.00 / $12,257.38
| Facility | | $2,332.00 | $5,044.00 | $12,257.38 |