- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,718.01 / $10,485.60 / $16,069.00
| Facility | | $7,718.01 | $10,485.60 | $16,069.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,642.32 / $11,379.78 / $13,028.45
| Facility | | $7,642.32 | $11,379.78 | $13,028.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,280.58 / $9,749.75 / $14,940.36
| Facility | | $6,280.58 | $9,749.75 | $14,940.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,732.96 / $9,295.26 / $16,824.00
| Facility | | $6,732.96 | $9,295.26 | $16,824.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.56 / $100.00 / $166.94
| Facility | | $71.56 | $100.00 | $166.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,416.02 / $10,263.48 / $16,891.30
| Facility | | $7,416.02 | $10,263.48 | $16,891.30 |