- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,912.08 / $11,798.70 / $19,177.80
| Facility | | $6,912.08 | $11,798.70 | $19,177.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,544.64 / $11,258.00 / $14,342.56
| Facility | | $8,544.64 | $11,258.00 | $14,342.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,927.07 / $9,562.00 / $14,789.36
| Facility | | $5,927.07 | $9,562.00 | $14,789.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,411.35 / $9,611.41 / $17,976.03
| Facility | | $5,411.35 | $9,611.41 | $17,976.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,428.00 / $9,928.26 / $13,468.09
| Facility | | $5,428.00 | $9,928.26 | $13,468.09 |