- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,444.20 / $9,221.16 / $12,369.40
| Facility | | $4,444.20 | $9,221.16 | $12,369.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,532.60 / $11,411.14 / $22,352.19
| Facility | | $7,532.60 | $11,411.14 | $22,352.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,651.00 / $9,555.20 / $11,361.59
| Facility | | $2,651.00 | $9,555.20 | $11,361.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,837.99 / $9,521.85 / $14,987.10
| Facility | | $7,837.99 | $9,521.85 | $14,987.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $5,713.00 / $11,764.00
| Facility | | $1,350.00 | $5,713.00 | $11,764.00 |