- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,087.89 / $9,135.33 / $18,565.40
| Facility | | $7,087.89 | $9,135.33 | $18,565.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,073.73 / $8,867.07 / $10,137.35
| Facility | | $7,073.73 | $8,867.07 | $10,137.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,657.65 / $10,014.64 / $13,024.47
| Facility | | $5,657.65 | $10,014.64 | $13,024.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,072.36 / $12,072.36 / $12,072.36
| Facility | | $12,072.36 | $12,072.36 | $12,072.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $8,031.49 / $12,368.70
| Facility | | $1,286.00 | $8,031.49 | $12,368.70 |