- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,345.49 / $8,178.48 / $16,620.80
| Facility | | $6,345.49 | $8,178.48 | $16,620.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,848.03 / $8,848.03 / $8,848.03
| Facility | | $8,848.03 | $8,848.03 | $8,848.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,444.67 / $8,078.53 / $9,235.85
| Facility | | $6,444.67 | $8,078.53 | $9,235.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,445.83 / $8,965.69 / $11,467.23
| Facility | | $5,445.83 | $8,965.69 | $11,467.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,837.05 / $7,837.05 / $7,837.05
| Facility | | $7,837.05 | $7,837.05 | $7,837.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $7,190.26 / $11,073.18
| Facility | | $1,286.00 | $7,190.26 | $11,073.18 |