- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,276.49 / $10,034.60 / $11,569.30
| Facility | | $8,276.49 | $10,034.60 | $11,569.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,813.22 / $16,813.22 / $16,813.22
| Facility | | $16,813.22 | $16,813.22 | $16,813.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,067.00 / $4,334.00
| Facility | | $1,252.00 | $3,067.00 | $4,334.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,362.52 / $11,719.10 / $20,113.64
| Facility | | $7,362.52 | $11,719.10 | $20,113.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $17,419.98
| Facility | | $2,332.00 | $5,310.00 | $17,419.98 |