- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,280.39 / $10,949.60 / $14,296.30
| Facility | | $5,280.39 | $10,949.60 | $14,296.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $9,870.12 / $26,776.08
| Facility | | $5,840.42 | $9,870.12 | $26,776.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,186.91 / $10,230.19 / $15,457.94
| Facility | | $6,186.91 | $10,230.19 | $15,457.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,527.93 / $14,527.93 / $14,527.93
| Facility | | $14,527.93 | $14,527.93 | $14,527.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,914.12 / $10,306.00 / $15,914.88
| Facility | | $8,914.12 | $10,306.00 | $15,914.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $9,870.12 / $26,776.08
| Facility | | $5,840.42 | $9,870.12 | $26,776.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $9,750.00 / $20,925.74
| Facility | | $5,840.42 | $9,750.00 | $20,925.74 |