- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,224.40 / $9,814.94 / $15,454.30
| Facility | | $7,224.40 | $9,814.94 | $15,454.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,877.31 / $9,123.73 / $14,509.91
| Facility | | $5,877.31 | $9,123.73 | $14,509.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,267.70 / $8,400.77 / $15,748.00
| Facility | | $6,267.70 | $8,400.77 | $15,748.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.64 / $95.35 / $153.10
| Facility | | $65.64 | $95.35 | $153.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,941.72 / $9,594.46 / $15,229.89
| Facility | | $6,941.72 | $9,594.46 | $15,229.89 |