- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,649.71 / $9,859.43 / $20,037.00
| Facility | | $7,649.71 | $9,859.43 | $20,037.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,033.31 / $10,780.90 / $12,500.10
| Facility | | $10,033.31 | $10,780.90 | $12,500.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,575.70 / $9,496.29 / $10,856.73
| Facility | | $7,575.70 | $9,496.29 | $10,856.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,106.10 / $10,808.44 / $14,056.84
| Facility | | $6,106.10 | $10,808.44 | $14,056.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,163.27 / $11,538.31 / $15,801.18
| Facility | | $9,163.27 | $11,538.31 | $15,801.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $8,668.10 / $13,349.09
| Facility | | $1,286.00 | $8,668.10 | $13,349.09 |