- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,100.93 / $10,509.10 / $14,691.50
| Facility | | $7,100.93 | $10,509.10 | $14,691.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,082.57 / $12,280.35 / $13,714.00
| Facility | | $10,082.57 | $12,280.35 | $13,714.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,312.12 / $14,660.22 / $18,795.15
| Facility | | $10,312.12 | $14,660.22 | $18,795.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,394.41 / $13,250.96 / $594,737.48
| Facility | | $6,394.41 | $13,250.96 | $594,737.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,100.93 / $10,850.00 / $16,104.30
| Facility | | $7,100.93 | $10,850.00 | $16,104.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,700.00 / $10,635.29 / $16,811.18
| Facility | | $5,700.00 | $10,635.29 | $16,811.18 |