- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,147.25 / $8,626.25 / $13,057.00
| Facility | | $6,147.25 | $8,626.25 | $13,057.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,135.87 / $10,382.89 / $17,012.50
| Facility | | $9,135.87 | $10,382.89 | $17,012.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,003.56 / $7,795.95 / $12,352.79
| Facility | | $5,003.56 | $7,795.95 | $12,352.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,362.68 / $7,433.00 / $13,400.00
| Facility | | $5,362.68 | $7,433.00 | $13,400.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.00 / $82.81 / $133.40
| Facility | | $57.00 | $82.81 | $133.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,906.72 / $8,174.67 / $13,453.60
| Facility | | $5,906.72 | $8,174.67 | $13,453.60 |