- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,986.66 / $7,258.37 / $8,368.46
| Facility | | $5,986.66 | $7,258.37 | $8,368.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,513.35 / $9,445.70 / $20,078.93
| Facility | | $8,513.35 | $9,445.70 | $20,078.93 |
- 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
- $5,325.56 / $8,476.82 / $14,548.88
| Facility | | $5,325.56 | $8,476.82 | $14,548.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,044.00 / $12,600.46
| Facility | | $2,332.00 | $5,044.00 | $12,600.46 |