- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,978.58 / $10,839.60 / $17,067.59
| Facility | | $7,978.58 | $10,839.60 | $17,067.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,371.58 / $10,085.95 / $15,210.00
| Facility | | $6,371.58 | $10,085.95 | $15,210.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,960.28 / $9,609.08 / $17,392.00
| Facility | | $6,960.28 | $9,609.08 | $17,392.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.98 / $102.38 / $172.57
| Facility | | $73.98 | $102.38 | $172.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,666.39 / $10,609.99 / $17,461.57
| Facility | | $7,666.39 | $10,609.99 | $17,461.57 |