- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,181.72 / $6,678.55 / $13,572.60
| Facility | | $5,181.72 | $6,678.55 | $13,572.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,608.72 / $7,352.51 / $7,702.66
| Facility | | $5,608.72 | $7,352.51 | $7,702.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,098.51 / $6,391.09 / $7,306.67
| Facility | | $5,098.51 | $6,391.09 | $7,306.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,099.97 / $6,812.33 / $9,364.15
| Facility | | $4,099.97 | $6,812.33 | $9,364.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,326.58 / $8,485.68 / $8,858.06
| Facility | | $8,326.58 | $8,485.68 | $8,858.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $5,871.57 / $9,042.37
| Facility | | $1,286.00 | $5,871.57 | $9,042.37 |