- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,126.00 / $8,933.75 / $14,502.30
| Facility | | $6,126.00 | $8,933.75 | $14,502.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,243.97 / $18,243.97 / $18,243.97
| Facility | | $18,243.97 | $18,243.97 | $18,243.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,007.06 / $15,648.18 / $20,061.77
| Facility | | $11,007.06 | $15,648.18 | $20,061.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,193.36 / $13,907.69 / $17,590.72
| Facility | | $7,193.36 | $13,907.69 | $17,590.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,391.46 / $9,607.61 / $15,363.00
| Facility | | $6,391.46 | $9,607.61 | $15,363.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,474.74 / $12,781.90 / $19,419.41
| Facility | | $7,474.74 | $12,781.90 | $19,419.41 |