- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,734.52 / $10,853.60 / $17,218.00
| Facility | | $7,734.52 | $10,853.60 | $17,218.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,189.86 / $10,189.86 / $18,488.09
| Facility | | $10,189.86 | $10,189.86 | $18,488.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,295.52 / $9,772.94 / $14,975.89
| Facility | | $6,295.52 | $9,772.94 | $14,975.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,747.37 / $9,315.15 / $16,860.00
| Facility | | $6,747.37 | $9,315.15 | $16,860.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.72 / $100.00 / $167.29
| Facility | | $71.72 | $100.00 | $167.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,431.89 / $10,285.44 / $16,927.43
| Facility | | $7,431.89 | $10,285.44 | $16,927.43 |