- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,345.50 / $9,979.48 / $14,226.00
| Facility | | $7,345.50 | $9,979.48 | $14,226.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,981.86 / $9,286.03 / $14,738.40
| Facility | | $5,981.86 | $9,286.03 | $14,738.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,408.00 / $8,846.62 / $16,012.00
| Facility | | $6,408.00 | $8,846.62 | $16,012.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.11 / $98.95 / $158.88
| Facility | | $68.11 | $98.95 | $158.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,058.09 / $9,768.12 / $16,076.05
| Facility | | $7,058.09 | $9,768.12 | $16,076.05 |