- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,928.04 / $9,412.32 / $14,158.00
| Facility | | $6,928.04 | $9,412.32 | $14,158.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,820.40 / $8,820.40 / $8,820.40
| Facility | | $8,820.40 | $8,820.40 | $8,820.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,481.84 / $8,752.75 / $13,919.93
| Facility | | $5,481.84 | $8,752.75 | $13,919.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,043.82 / $8,343.86 / $15,102.00
| Facility | | $6,043.82 | $8,343.86 | $15,102.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.23 / $95.26 / $150.00
| Facility | | $64.23 | $95.26 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,656.96 / $9,212.98 / $15,162.41
| Facility | | $6,656.96 | $9,212.98 | $15,162.41 |