- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,588.29 / $6,775.38 / $7,811.61
| Facility | | $5,588.29 | $6,775.38 | $7,811.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,750.07 / $11,473.18 / $34,832.14
| Facility | | $7,750.07 | $11,473.18 | $34,832.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,485.00 / $5,462.00
| Facility | | $1,252.00 | $3,485.00 | $5,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,971.18 / $7,912.75 / $13,580.75
| Facility | | $4,971.18 | $7,912.75 | $13,580.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,044.00 / $11,761.98
| Facility | | $2,332.00 | $5,044.00 | $11,761.98 |