- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,020.03 / $9,288.04 / $15,420.30
| Facility | | $6,020.03 | $9,288.04 | $15,420.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,976.00 / $9,637.11 / $14,940.00
| Facility | | $5,976.00 | $9,637.11 | $14,940.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,489.58 / $8,403.67 / $14,203.45
| Facility | | $5,489.58 | $8,403.67 | $14,203.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,006.00 / $10,152.83 / $17,732.00
| Facility | | $8,006.00 | $10,152.83 | $17,732.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,976.88 / $9,945.79 / $24,547.23
| Facility | | $4,976.88 | $9,945.79 | $24,547.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,976.88 / $9,397.14 / $13,345.99
| Facility | | $4,976.88 | $9,397.14 | $13,345.99 |