- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,561.64 / $7,674.18 / $12,843.90
| Facility | | $5,561.64 | $7,674.18 | $12,843.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,895.81 / $9,107.29 / $16,653.23
| Facility | | $7,895.81 | $9,107.29 | $16,653.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,423.00 / $8,563.70 / $13,397.09
| Facility | | $2,423.00 | $8,563.70 | $13,397.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,561.64 / $5,561.64 / $5,561.64
| Facility | | $5,561.64 | $5,561.64 | $5,561.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,600.00 / $6,967.94 / $15,494.02
| Facility | | $2,600.00 | $6,967.94 | $15,494.02 |