- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,316.00 / $9,376.00 / $14,838.00
| Facility | | $4,316.00 | $9,376.00 | $14,838.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,529.14 / $9,262.28 / $16,933.74
| Facility | | $6,529.14 | $9,262.28 | $16,933.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.56 / $9,423.00 / $14,760.62
| Facility | | $2,884.56 | $9,423.00 | $14,760.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,435.44 / $12,649.00 / $18,661.50
| Facility | | $8,435.44 | $12,649.00 | $18,661.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,300.00 / $9,753.00 / $16,271.32
| Facility | | $3,300.00 | $9,753.00 | $16,271.32 |