- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,281.54 / $8,828.29 / $10,178.50
| Facility | | $7,281.54 | $8,828.29 | $10,178.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,613.56 / $14,524.42 / $14,819.08
| Facility | | $9,613.56 | $14,524.42 | $14,819.08 |
- 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
- $6,477.44 / $10,310.29 / $17,695.70
| Facility | | $6,477.44 | $10,310.29 | $17,695.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,156.00 / $6,585.00 / $13,351.34
| Facility | | $2,156.00 | $6,585.00 | $13,351.34 |