- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,842.79 / $10,655.10 / $16,454.00
| Facility | | $7,842.79 | $10,655.10 | $16,454.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,385.14 / $9,912.04 / $15,189.07
| Facility | | $6,385.14 | $9,912.04 | $15,189.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,841.82 / $9,445.54 / $17,096.00
| Facility | | $6,841.82 | $9,445.54 | $17,096.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.72 / $100.64 / $169.64
| Facility | | $72.72 | $100.64 | $169.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,535.92 / $10,429.41 / $17,164.38
| Facility | | $7,535.92 | $10,429.41 | $17,164.38 |