- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,316.49 / $9,429.95 / $19,164.20
| Facility | | $7,316.49 | $9,429.95 | $19,164.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,644.13 / $10,278.11 / $11,269.74
| Facility | | $7,644.13 | $10,278.11 | $11,269.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,400.33 / $9,276.46 / $10,605.40
| Facility | | $7,400.33 | $9,276.46 | $10,605.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.12 / $10,337.62 / $13,444.53
| Facility | | $5,840.12 | $10,337.62 | $13,444.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,790.75 / $11,819.83 / $13,588.40
| Facility | | $8,790.75 | $11,819.83 | $13,588.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $8,290.52 / $12,767.61
| Facility | | $1,286.00 | $8,290.52 | $12,767.61 |