- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,352.32 / $9,476.14 / $19,258.00
| Facility | | $7,352.32 | $9,476.14 | $19,258.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,254.19 / $3,254.19 / $11,904.87
| Facility | | $3,254.19 | $3,254.19 | $11,904.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,538.78 / $9,450.02 / $10,803.82
| Facility | | $7,538.78 | $9,450.02 | $10,803.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,868.72 / $10,388.25 / $13,510.37
| Facility | | $5,868.72 | $10,388.25 | $13,510.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,905.03 / $12,463.60 / $13,690.60
| Facility | | $3,905.03 | $12,463.60 | $13,690.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $8,331.12 / $12,830.13
| Facility | | $1,286.00 | $8,331.12 | $12,830.13 |