- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,813.43 / $10,615.20 / $16,251.00
| Facility | | $7,813.43 | $10,615.20 | $16,251.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,291.89 / $9,877.27 / $15,135.78
| Facility | | $6,291.89 | $9,877.27 | $15,135.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,816.21 / $9,410.18 / $17,032.00
| Facility | | $6,816.21 | $9,410.18 | $17,032.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.45 / $100.26 / $169.00
| Facility | | $72.45 | $100.26 | $169.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,507.71 / $10,390.37 / $17,100.13
| Facility | | $7,507.71 | $10,390.37 | $17,100.13 |