- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,598.09 / $11,637.00 / $13,416.70
| Facility | | $9,598.09 | $11,637.00 | $13,416.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,417.50 / $17,417.50 / $17,690.30
| Facility | | $17,417.50 | $17,417.50 | $17,690.30 |
- 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
- $8,538.18 / $13,590.43 / $23,325.42
| Facility | | $8,538.18 | $13,590.43 | $23,325.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $20,201.63
| Facility | | $2,332.00 | $5,310.00 | $20,201.63 |