- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,411.05 / $6,974.10 / $14,173.20
| Facility | | $5,411.05 | $6,974.10 | $14,173.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,986.00 / $7,504.79 / $10,096.59
| Facility | | $4,986.00 | $7,504.79 | $10,096.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,349.85 / $6,706.15 / $7,666.86
| Facility | | $5,349.85 | $6,706.15 | $7,666.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,319.17 / $7,645.39 / $9,943.16
| Facility | | $4,319.17 | $7,645.39 | $9,943.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,778.16 / $8,749.51 / $11,611.08
| Facility | | $5,778.16 | $8,749.51 | $11,611.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $6,131.41 / $9,442.53
| Facility | | $1,286.00 | $6,131.41 | $9,442.53 |