- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,155.17 / $9,754.60 / $16,195.00
| Facility | | $6,155.17 | $9,754.60 | $16,195.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,248.26 / $7,982.39 / $9,216.17
| Facility | | $4,248.26 | $7,982.39 | $9,216.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,913.14 / $9,052.07 / $15,299.34
| Facility | | $5,913.14 | $9,052.07 | $15,299.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,408.16 / $10,662.83 / $18,622.73
| Facility | | $8,408.16 | $10,662.83 | $18,622.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,226.88 / $10,445.39 / $26,441.22
| Facility | | $5,226.88 | $10,445.39 | $26,441.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,031.64 / $9,972.87 / $14,016.39
| Facility | | $6,031.64 | $9,972.87 | $14,016.39 |