- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,277.94 / $6,399.10 / $7,377.78
| Facility | | $5,277.94 | $6,399.10 | $7,377.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,979.63 / $7,893.23 / $13,871.44
| Facility | | $3,979.63 | $7,893.23 | $13,871.44 |
- 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
- $4,695.10 / $7,473.30 / $12,826.53
| Facility | | $4,695.10 | $7,473.30 | $12,826.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,044.00 / $11,108.77
| Facility | | $2,332.00 | $5,044.00 | $11,108.77 |