- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,552.86 / $10,261.20 / $16,156.90
| Facility | | $7,552.86 | $10,261.20 | $16,156.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,051.99 / $9,541.08 / $14,625.00
| Facility | | $6,051.99 | $9,541.08 | $14,625.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,588.89 / $9,096.36 / $16,464.00
| Facility | | $6,588.89 | $9,096.36 | $16,464.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.04 / $100.00 / $163.36
| Facility | | $70.04 | $100.00 | $163.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,984.76 / $10,030.69 / $15,922.33
| Facility | | $6,984.76 | $10,030.69 | $15,922.33 |