- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,239.81 / $9,331.12 / $18,963.30
| Facility | | $7,239.81 | $9,331.12 | $18,963.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,163.81 / $9,694.08 / $10,770.12
| Facility | | $7,163.81 | $9,694.08 | $10,770.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,216.44 / $9,045.95 / $10,341.87
| Facility | | $7,216.44 | $9,045.95 | $10,341.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,778.92 / $10,229.29 / $13,303.63
| Facility | | $5,778.92 | $10,229.29 | $13,303.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,390.23 / $11,148.19 / $12,385.64
| Facility | | $7,390.23 | $11,148.19 | $12,385.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $8,203.64 / $12,633.80
| Facility | | $1,286.00 | $8,203.64 | $12,633.80 |