- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,005.00 / $11,091.30 / $17,949.00
| Facility | | $2,005.00 | $11,091.30 | $17,949.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,703.00 / $11,781.51 / $16,809.33
| Facility | | $7,703.00 | $11,781.51 | $16,809.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,706.42 / $12,404.81 / $19,698.25
| Facility | | $7,706.42 | $12,404.81 | $19,698.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,428.00 / $10,348.95 / $19,866.39
| Facility | | $5,428.00 | $10,348.95 | $19,866.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $11,000.00 / $17,693.36
| Facility | | $5,000.00 | $11,000.00 | $17,693.36 |