- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,468.03 / $8,336.41 / $16,941.80
| Facility | | $6,468.03 | $8,336.41 | $16,941.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,263.60 / $7,882.73 / $9,792.54
| Facility | | $5,263.60 | $7,882.73 | $9,792.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,458.16 / $8,095.44 / $9,255.18
| Facility | | $6,458.16 | $8,095.44 | $9,255.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,162.87 / $9,138.83 / $11,885.44
| Facility | | $5,162.87 | $9,138.83 | $11,885.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,053.14 / $9,065.14 / $11,261.42
| Facility | | $6,053.14 | $9,065.14 | $11,261.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $7,329.11 / $11,287.01
| Facility | | $1,286.00 | $7,329.11 | $11,287.01 |