- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,500.51 / $9,338.00 / $12,526.10
| Facility | | $4,500.51 | $9,338.00 | $12,526.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,235.16 / $15,235.16 / $15,235.16
| Facility | | $15,235.16 | $15,235.16 | $15,235.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,651.00 / $9,115.01 / $10,838.17
| Facility | | $2,651.00 | $9,115.01 | $10,838.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,937.30 / $9,642.50 / $15,177.00
| Facility | | $7,937.30 | $9,642.50 | $15,177.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,500.00 / $5,888.00 / $13,698.44
| Facility | | $1,500.00 | $5,888.00 | $13,698.44 |