- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,519.35 / $8,365.42 / $13,888.60
| Facility | | $6,519.35 | $8,365.42 | $13,888.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,904.00 / $23,904.00 / $23,904.00
| Facility | | $23,904.00 | $23,904.00 | $23,904.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,106.35 / $7,817.02 / $12,958.63
| Facility | | $5,106.35 | $7,817.02 | $12,958.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,210.73 / $8,922.69 / $12,907.00
| Facility | | $7,210.73 | $8,922.69 | $12,907.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,482.50 / $8,957.83 / $22,833.62
| Facility | | $4,482.50 | $8,957.83 | $22,833.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,482.50 / $8,767.04 / $12,020.27
| Facility | | $4,482.50 | $8,767.04 | $12,020.27 |