- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $12,589.25 / $25,118.86
| Facility | | $10,715.19 | $12,589.25 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $10,964.78 / $16,218.10
| Facility | | $6,760.83 | $10,964.78 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $10,000.00 / $15,488.17
| Facility | | $8,709.64 | $10,000.00 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $8,317.64 / $10,715.19
| Facility | | $6,165.95 | $8,317.64 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $10,471.29 / $15,848.93
| Facility | | $8,128.31 | $10,471.29 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $8,511.38 / $10,715.19
| Facility | | $6,165.95 | $8,511.38 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $10,000.00 / $12,302.69
| Facility | | $7,762.47 | $10,000.00 | $12,302.69 |