- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,361.26 / $8,198.79 / $16,662.09
| Facility | | $6,361.26 | $8,198.79 | $16,662.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,143.82 / $10,143.82 / $10,143.82
| Facility | | $10,143.82 | $10,143.82 | $10,143.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,267.88 / $7,856.92 / $8,982.49
| Facility | | $6,267.88 | $7,856.92 | $8,982.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,077.64 / $8,987.95 / $11,689.23
| Facility | | $5,077.64 | $8,987.95 | $11,689.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,665.39 / $11,665.39 / $11,665.39
| Facility | | $11,665.39 | $11,665.39 | $11,665.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $7,208.12 / $11,100.69
| Facility | | $1,286.00 | $7,208.12 | $11,100.69 |