- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,586.27 / $8,488.81 / $17,251.50
| Facility | | $6,586.27 | $8,488.81 | $17,251.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,208.85 / $8,559.32 / $10,543.62
| Facility | | $8,208.85 | $8,559.32 | $10,543.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,482.30 / $8,125.70 / $9,289.78
| Facility | | $6,482.30 | $8,125.70 | $9,289.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,211.30 / $8,658.84 / $11,902.35
| Facility | | $5,211.30 | $8,658.84 | $11,902.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,440.18 / $9,843.21 / $16,058.72
| Facility | | $9,440.18 | $9,843.21 | $16,058.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $7,463.09 / $11,493.35
| Facility | | $1,286.00 | $7,463.09 | $11,493.35 |