- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,442.76 / $10,111.60 / $15,034.00
| Facility | | $7,442.76 | $10,111.60 | $15,034.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,879.39 / $7,879.39 / $8,233.34
| Facility | | $7,879.39 | $7,879.39 | $8,233.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,056.54 / $9,401.95 / $14,917.50
| Facility | | $6,056.54 | $9,401.95 | $14,917.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,492.84 / $8,963.76 / $16,224.00
| Facility | | $6,492.84 | $8,963.76 | $16,224.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.02 / $100.00 / $160.97
| Facility | | $69.02 | $100.00 | $160.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,151.54 / $9,897.45 / $16,288.90
| Facility | | $7,151.54 | $9,897.45 | $16,288.90 |