- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,590.48 / $10,312.29 / $15,060.00
| Facility | | $7,590.48 | $10,312.29 | $15,060.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,033.84 / $8,345.70 / $11,314.57
| Facility | | $8,033.84 | $8,345.70 | $11,314.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,107.27 / $9,587.45 / $14,917.50
| Facility | | $6,107.27 | $9,587.45 | $14,917.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,621.71 / $9,141.67 / $16,546.00
| Facility | | $6,621.71 | $9,141.67 | $16,546.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.39 / $100.00 / $164.18
| Facility | | $70.39 | $100.00 | $164.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,156.38 / $10,070.71 / $16,001.64
| Facility | | $7,156.38 | $10,070.71 | $16,001.64 |