- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,427.16 / $10,422.29 / $15,793.00
| Facility | | $7,427.16 | $10,422.29 | $15,793.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,511.78 / $5,671.36 / $9,635.70
| Facility | | $5,511.78 | $5,671.36 | $9,635.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,041.61 / $9,378.77 / $14,885.60
| Facility | | $6,041.61 | $9,378.77 | $14,885.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,479.24 / $8,944.98 / $16,190.00
| Facility | | $6,479.24 | $8,944.98 | $16,190.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.87 / $100.00 / $160.65
| Facility | | $68.87 | $100.00 | $160.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,136.55 / $9,876.70 / $16,254.76
| Facility | | $7,136.55 | $9,876.70 | $16,254.76 |