- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,686.21 / $8,428.52 / $13,571.00
| Facility | | $3,686.21 | $8,428.52 | $13,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,770.97 / $12,619.76
| Facility | | $1,474.01 | $5,770.97 | $12,619.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,101.16 / $8,812.56 / $12,484.05
| Facility | | $6,101.16 | $8,812.56 | $12,484.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,007.22 / $7,211.23 / $15,265.53
| Facility | | $5,007.22 | $7,211.23 | $15,265.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,007.22 / $7,391.34 / $15,723.15
| Facility | | $5,007.22 | $7,391.34 | $15,723.15 |