- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,455.30 / $7,838.02 / $13,973.80
| Facility | | $5,455.30 | $7,838.02 | $13,973.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,159.00 / $3,543.50 / $7,189.73
| Facility | | $1,159.00 | $3,543.50 | $7,189.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,300.47 / $6,745.28 / $12,265.58
| Facility | | $1,300.47 | $6,745.28 | $12,265.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,254.97 / $9,200.40 / $13,770.00
| Facility | | $7,254.97 | $9,200.40 | $13,770.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,510.00 / $9,049.59 / $14,447.88
| Facility | | $4,510.00 | $9,049.59 | $14,447.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,337.54 / $8,820.84 / $12,094.02
| Facility | | $4,337.54 | $8,820.84 | $12,094.02 |