- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,620.04 / $12,411.70 / $20,606.30
| Facility | | $8,620.04 | $12,411.70 | $20,606.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,212.00 / $11,578.20 / $11,671.98
| Facility | | $7,212.00 | $11,578.20 | $11,671.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,428.63 / $11,128.53 / $18,851.96
| Facility | | $7,428.63 | $11,128.53 | $18,851.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,771.88 / $13,829.04 / $20,928.00
| Facility | | $10,771.88 | $13,829.04 | $20,928.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,650.63 / $13,290.61 / $33,217.91
| Facility | | $6,650.63 | $13,290.61 | $33,217.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,650.63 / $12,689.39 / $17,834.32
| Facility | | $6,650.63 | $12,689.39 | $17,834.32 |