- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,708.11 / $10,557.90 / $12,172.70
| Facility | | $8,708.11 | $10,557.90 | $12,172.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,261.57 / $16,319.92 / $20,791.46
| Facility | | $10,261.57 | $16,319.92 | $20,791.46 |
- 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
- $7,746.48 / $12,330.26 / $21,162.58
| Facility | | $7,746.48 | $12,330.26 | $21,162.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $18,328.43
| Facility | | $2,332.00 | $5,310.00 | $18,328.43 |