- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,892.21 / $10,064.70 / $14,569.00
| Facility | | $6,892.21 | $10,064.70 | $14,569.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,673.60 / $10,004.60 / $16,921.43
| Facility | | $3,673.60 | $10,004.60 | $16,921.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,327.05 / $10,190.79 / $18,250.00
| Facility | | $7,327.05 | $10,190.79 | $18,250.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,669.46 / $11,282.23 / $16,472.98
| Facility | | $8,669.46 | $11,282.23 | $16,472.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,669.46 / $10,488.34 / $16,472.98
| Facility | | $8,669.46 | $10,488.34 | $16,472.98 |