- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $789.00 / $4,479.00 / $10,425.60
| Facility | | $789.00 | $4,479.00 | $10,425.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,613.54 / $8,239.83 / $11,620.13
| Facility | | $7,613.54 | $8,239.83 | $11,620.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.36 / $8,418.40 / $12,996.02
| Facility | | $2,089.36 | $8,418.40 | $12,996.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,873.87 / $10,450.94 / $14,170.00
| Facility | | $6,873.87 | $10,450.94 | $14,170.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,476.09 / $11,114.26 / $16,617.16
| Facility | | $7,476.09 | $11,114.26 | $16,617.16 |