- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,829.77 / $10,015.20 / $13,076.30
| Facility | | $4,829.77 | $10,015.20 | $13,076.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $9,145.93 / $24,491.02
| Facility | | $5,840.42 | $9,145.93 | $24,491.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,658.92 / $9,357.15 / $14,138.77
| Facility | | $5,658.92 | $9,357.15 | $14,138.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,288.12 / $13,288.12 / $13,288.12
| Facility | | $13,288.12 | $13,288.12 | $13,288.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,153.40 / $9,426.49 / $14,556.71
| Facility | | $8,153.40 | $9,426.49 | $14,556.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $9,145.93 / $24,491.02
| Facility | | $5,840.42 | $9,145.93 | $24,491.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $9,027.79 / $19,139.95
| Facility | | $5,840.42 | $9,027.79 | $19,139.95 |