- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,251.38 / $7,579.31 / $8,738.50
| Facility | | $6,251.38 | $7,579.31 | $8,738.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,228.23 / $9,014.28 / $14,082.24
| Facility | | $8,228.23 | $9,014.28 | $14,082.24 |
- 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
- $5,561.04 / $8,851.64 / $15,192.19
| Facility | | $5,561.04 | $8,851.64 | $15,192.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,156.00 / $6,854.00 / $13,411.69
| Facility | | $2,156.00 | $6,854.00 | $13,411.69 |