- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,063.77 / $11,014.70 / $16,278.00
| Facility | | $7,063.77 | $11,014.70 | $16,278.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,423.27 / $12,423.27 / $16,443.59
| Facility | | $12,423.27 | $12,423.27 | $16,443.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,016.06 / $11,106.14 / $16,665.34
| Facility | | $7,016.06 | $11,106.14 | $16,665.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,666.23 / $10,535.80 / $19,156.00
| Facility | | $7,666.23 | $10,535.80 | $19,156.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.83 / $120.84 / $2,500.00
| Facility | | $84.83 | $120.84 | $2,500.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,645.68 / $10,738.85 / $16,879.31
| Facility | | $5,645.68 | $10,738.85 | $16,879.31 |