- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,800.38 / $7,885.32 / $10,577.50
| Facility | | $3,800.38 | $7,885.32 | $10,577.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,674.01 / $8,663.07 / $19,640.68
| Facility | | $5,674.01 | $8,663.07 | $19,640.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,651.00 / $6,685.29 / $7,949.12
| Facility | | $2,651.00 | $6,685.29 | $7,949.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,702.52 / $8,142.45 / $14,120.16
| Facility | | $6,702.52 | $8,142.45 | $14,120.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $5,656.86 / $10,059.78
| Facility | | $1,350.00 | $5,656.86 | $10,059.78 |