- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,062.79 / $12,572.00 / $16,414.59
| Facility | | $6,062.79 | $12,572.00 | $16,414.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $11,332.57 / $30,743.47
| Facility | | $5,840.42 | $11,332.57 | $30,743.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,103.62 / $11,745.99 / $17,748.34
| Facility | | $7,103.62 | $11,745.99 | $17,748.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,680.52 / $16,680.52 / $16,680.52
| Facility | | $16,680.52 | $16,680.52 | $16,680.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,234.93 / $11,833.03 / $18,272.98
| Facility | | $10,234.93 | $11,833.03 | $18,272.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $11,332.57 / $30,743.47
| Facility | | $5,840.42 | $11,332.57 | $30,743.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $9,750.00 / $24,026.30
| Facility | | $5,840.42 | $9,750.00 | $24,026.30 |