- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,020.11 / $10,690.10 / $17,748.00
| Facility | | $8,020.11 | $10,690.10 | $17,748.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,772.47 / $7,486.00 / $14,940.00
| Facility | | $6,772.47 | $7,486.00 | $14,940.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,493.18 / $9,727.17 / $16,478.04
| Facility | | $6,493.18 | $9,727.17 | $16,478.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,214.49 / $11,402.18 / $16,394.93
| Facility | | $9,214.49 | $11,402.18 | $16,394.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,728.13 / $11,447.09 / $29,034.96
| Facility | | $5,728.13 | $11,447.09 | $29,034.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,728.13 / $10,929.26 / $15,360.54
| Facility | | $5,728.13 | $10,929.26 | $15,360.54 |