- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,487.00 / $7,625.00 / $18,718.80
| Facility | | $3,487.00 | $7,625.00 | $18,718.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,723.00 / $6,760.00 / $10,685.31
| Facility | | $3,723.00 | $6,760.00 | $10,685.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,185.50 / $9,152.34 / $15,096.62
| Facility | | $6,185.50 | $9,152.34 | $15,096.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,731.91 / $9,250.07 / $14,114.88
| Facility | | $5,731.91 | $9,250.07 | $14,114.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,205.70 / $16,472.00 / $22,503.96
| Facility | | $13,205.70 | $16,472.00 | $22,503.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,820.00 / $7,124.00 / $12,896.00
| Facility | | $2,820.00 | $7,124.00 | $12,896.00 |