- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,073.85 / $6,151.67 / $7,092.51
| Facility | | $5,073.85 | $6,151.67 | $7,092.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,142.09 / $8,461.58 / $12,770.84
| Facility | | $6,142.09 | $8,461.58 | $12,770.84 |
- 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
- $4,513.56 / $7,184.34 / $12,330.58
| Facility | | $4,513.56 | $7,184.34 | $12,330.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,044.00 / $10,679.24
| Facility | | $2,332.00 | $5,044.00 | $10,679.24 |