- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,053.00 / $8,286.45 / $12,664.90
| Facility | | $5,053.00 | $8,286.45 | $12,664.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,885.12 / $11,487.61 / $15,326.63
| Facility | | $7,885.12 | $11,487.61 | $15,326.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,630.87 / $8,741.15 / $13,927.19
| Facility | | $5,630.87 | $8,741.15 | $13,927.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,035.02 / $8,294.00 / $15,080.00
| Facility | | $6,035.02 | $8,294.00 | $15,080.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.78 / $100.00 / $2,470.00
| Facility | | $66.78 | $100.00 | $2,470.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,971.00 / $7,723.00 / $13,150.51
| Facility | | $3,971.00 | $7,723.00 | $13,150.51 |