- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,914.56 / $11,438.90 / $18,991.30
| Facility | | $8,914.56 | $11,438.90 | $18,991.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,972.00 / $10,987.16 / $17,520.87
| Facility | | $6,972.00 | $10,987.16 | $17,520.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,856.93 / $10,496.87 / $17,401.13
| Facility | | $6,856.93 | $10,496.87 | $17,401.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,859.95 / $12,200.89 / $17,578.00
| Facility | | $9,859.95 | $12,200.89 | $17,578.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,129.38 / $12,248.94 / $30,661.49
| Facility | | $6,129.38 | $12,248.94 | $30,661.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,129.38 / $11,694.85 / $16,436.53
| Facility | | $6,129.38 | $11,694.85 | $16,436.53 |