- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,124.41 / $6,604.66 / $13,422.40
| Facility | | $5,124.41 | $6,604.66 | $13,422.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,281.37 / $7,164.55 / $7,457.10
| Facility | | $5,281.37 | $7,164.55 | $7,457.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,013.31 / $6,284.29 / $7,184.57
| Facility | | $5,013.31 | $6,284.29 | $7,184.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,090.37 / $7,240.39 / $9,416.44
| Facility | | $4,090.37 | $7,240.39 | $9,416.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,239.23 / $8,239.23 / $8,575.67
| Facility | | $8,239.23 | $8,239.23 | $8,575.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $5,806.61 / $8,942.33
| Facility | | $1,286.00 | $5,806.61 | $8,942.33 |