- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $10,964.78 / $16,595.87
| Facility | | $7,943.28 | $10,964.78 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $10,000.00 / $15,135.61
| Facility | | $6,309.57 | $10,000.00 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $9,549.93 / $16,982.44
| Facility | | $6,760.83 | $9,549.93 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $107.15 / $169.82
| Facility | | $75.86 | $107.15 | $169.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $10,715.19 / $15,488.17
| Facility | | $7,244.36 | $10,715.19 | $15,488.17 |