- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,260.50 / $7,590.38 / $8,751.26
| Facility | | $6,260.50 | $7,590.38 | $8,751.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,606.65 / $9,224.90 / $15,839.08
| Facility | | $7,606.65 | $9,224.90 | $15,839.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $800.00 / $850.00 / $1,246.00
| Facility | | $800.00 | $850.00 | $1,246.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,446.25 / $6,049.26 / $15,214.37
| Facility | | $5,446.25 | $6,049.26 | $15,214.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,044.00 / $13,176.82
| Facility | | $2,332.00 | $5,044.00 | $13,176.82 |