- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,710.22 / $6,923.20 / $7,982.04
| Facility | | $5,710.22 | $6,923.20 | $7,982.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,965.51 / $8,253.17 / $14,212.51
| Facility | | $7,965.51 | $8,253.17 | $14,212.51 |
- 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
- $5,079.64 / $8,085.39 / $13,877.05
| Facility | | $5,079.64 | $8,085.39 | $13,877.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,044.00 / $12,018.60
| Facility | | $2,332.00 | $5,044.00 | $12,018.60 |