- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,775.08 / $7,443.29 / $15,126.70
| Facility | | $5,775.08 | $7,443.29 | $15,126.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,037.85 / $7,237.54 / $8,493.07
| Facility | | $7,037.85 | $7,237.54 | $8,493.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,837.62 / $7,317.58 / $8,365.89
| Facility | | $5,837.62 | $7,317.58 | $8,365.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,609.75 / $8,159.74 / $10,612.09
| Facility | | $4,609.75 | $8,159.74 | $10,612.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,355.39 / $8,521.73 / $9,760.36
| Facility | | $7,355.39 | $8,521.73 | $9,760.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $6,543.91 / $10,077.78
| Facility | | $1,286.00 | $6,543.91 | $10,077.78 |