- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,605.79 / $10,806.60 / $26,344.00
| Facility | | $6,605.79 | $10,806.60 | $26,344.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,115.81 / $9,249.98 / $12,492.80
| Facility | | $6,115.81 | $9,249.98 | $12,492.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,849.61 / $9,026.57 / $13,782.10
| Facility | | $5,849.61 | $9,026.57 | $13,782.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,063.00 / $10,160.00 / $19,082.00
| Facility | | $7,063.00 | $10,160.00 | $19,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $13,156.67 / $17,693.00
| Facility | | $5,274.00 | $13,156.67 | $17,693.00 |