- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $10,000.00 / $10,471.29
| Facility | | $8,511.38 | $10,000.00 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $10,715.19 / $15,488.17
| Facility | | $6,165.95 | $10,715.19 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $8,912.51 / $15,848.93
| Facility | | $6,606.93 | $8,912.51 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $8,511.38 / $10,715.19
| Facility | | $7,413.10 | $8,511.38 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $10,000.00 / $16,218.10
| Facility | | $6,165.95 | $10,000.00 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $6,456.54 / $8,511.38
| Facility | | $70.79 | $6,456.54 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $11,748.98 / $12,022.64
| Facility | | $9,332.54 | $11,748.98 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $10,715.19 / $14,454.40
| Facility | | $6,165.95 | $10,715.19 | $14,454.40 |