- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,398.93 / $10,058.20 / $16,195.00
| Facility | | $4,398.93 | $10,058.20 | $16,195.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,735.12 / $9,192.06 / $10,258.07
| Facility | | $7,735.12 | $9,192.06 | $10,258.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $4,565.18 / $13,953.94
| Facility | | $1,474.01 | $4,565.18 | $13,953.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,280.83 / $10,516.47 / $14,897.85
| Facility | | $7,280.83 | $10,516.47 | $14,897.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,975.36 / $8,605.53 / $18,217.12
| Facility | | $5,975.36 | $8,605.53 | $18,217.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,804.97 / $10,761.51 / $15,902.24
| Facility | | $6,804.97 | $10,761.51 | $15,902.24 |