- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,022.91 / $12,489.40 / $16,306.60
| Facility | | $6,022.91 | $12,489.40 | $16,306.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $11,258.04 / $30,541.29
| Facility | | $5,840.42 | $11,258.04 | $30,541.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,056.90 / $11,668.75 / $17,631.61
| Facility | | $7,056.90 | $11,668.75 | $17,631.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,570.82 / $16,570.82 / $16,570.82
| Facility | | $16,570.82 | $16,570.82 | $16,570.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,167.62 / $11,755.21 / $18,152.80
| Facility | | $10,167.62 | $11,755.21 | $18,152.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $11,258.04 / $30,541.29
| Facility | | $5,840.42 | $11,258.04 | $30,541.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $9,750.00 / $23,868.29
| Facility | | $5,840.42 | $9,750.00 | $23,868.29 |