- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,519.63 / $8,402.91 / $17,076.90
| Facility | | $6,519.63 | $8,402.91 | $17,076.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,403.23 / $9,978.81 / $10,625.04
| Facility | | $9,403.23 | $9,978.81 | $10,625.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,663.35 / $8,352.65 / $9,549.24
| Facility | | $6,663.35 | $8,352.65 | $9,549.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,204.06 / $9,211.73 / $11,980.25
| Facility | | $5,204.06 | $9,211.73 | $11,980.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,813.71 / $11,475.63 / $12,218.80
| Facility | | $10,813.71 | $11,475.63 | $12,218.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $7,387.58 / $11,377.05
| Facility | | $1,286.00 | $7,387.58 | $11,377.05 |