- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,439.93 / $8,749.18 / $13,117.00
| Facility | | $6,439.93 | $8,749.18 | $13,117.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,097.02 / $8,138.32 / $12,942.77
| Facility | | $5,097.02 | $8,138.32 | $12,942.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,618.01 / $7,756.00 / $14,038.00
| Facility | | $5,618.01 | $7,756.00 | $14,038.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.72 / $88.55 / $139.75
| Facility | | $59.72 | $88.55 | $139.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,187.95 / $8,563.87 / $14,094.15
| Facility | | $6,187.95 | $8,563.87 | $14,094.15 |