- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,148.25 / $10,379.29 / $18,264.50
| Facility | | $6,148.25 | $10,379.29 | $18,264.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,079.27 / $6,001.11 / $10,586.98
| Facility | | $5,079.27 | $6,001.11 | $10,586.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,132.48 / $10,528.23 / $17,407.84
| Facility | | $7,132.48 | $10,528.23 | $17,407.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,592.79 / $9,567.14 / $13,772.30
| Facility | | $5,592.79 | $9,567.14 | $13,772.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,591.45 / $19,591.45 / $22,992.23
| Facility | | $19,591.45 | $19,591.45 | $22,992.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $9,045.43 / $12,920.36
| Facility | | $1,787.00 | $9,045.43 | $12,920.36 |