- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,972.32 / $7,240.98 / $8,348.42
| Facility | | $5,972.32 | $7,240.98 | $8,348.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,046.71 / $9,046.71 / $9,084.20
| Facility | | $9,046.71 | $9,046.71 | $9,084.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,485.00 / $5,462.00
| Facility | | $1,252.00 | $3,485.00 | $5,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,312.80 / $8,456.51 / $14,514.02
| Facility | | $5,312.80 | $8,456.51 | $14,514.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,044.00 / $12,570.27
| Facility | | $2,332.00 | $5,044.00 | $12,570.27 |