- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,013.87 / $10,615.50 / $18,573.09
| Facility | | $8,013.87 | $10,615.50 | $18,573.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,832.99 / $7,115.07 / $10,330.00
| Facility | | $5,832.99 | $7,115.07 | $10,330.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,786.47 / $10,000.45 / $18,936.75
| Facility | | $5,786.47 | $10,000.45 | $18,936.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,686.91 / $11,410.10 / $17,470.00
| Facility | | $7,686.91 | $11,410.10 | $17,470.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $10,939.76 / $16,709.13
| Facility | | $3,496.00 | $10,939.76 | $16,709.13 |