- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,325.63 / $9,409.69 / $18,105.00
| Facility | | $7,325.63 | $9,409.69 | $18,105.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,404.00 / $9,135.57 / $17,477.74
| Facility | | $2,404.00 | $9,135.57 | $17,477.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,999.94 / $8,730.54 / $15,111.34
| Facility | | $5,999.94 | $8,730.54 | $15,111.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,102.52 / $10,275.23 / $15,285.00
| Facility | | $8,102.52 | $10,275.23 | $15,285.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,731.68 / $10,126.12 / $19,491.00
| Facility | | $6,731.68 | $10,126.12 | $19,491.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,036.88 / $9,610.36 / $13,506.88
| Facility | | $5,036.88 | $9,610.36 | $13,506.88 |