- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $10,471.29 / $12,022.64
| Facility | | $7,585.78 | $10,471.29 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $7,244.36 / $7,943.28
| Facility | | $7,079.46 | $7,244.36 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $10,000.00 / $13,182.57
| Facility | | $5,754.40 | $10,000.00 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $7,585.78 / $18,620.87
| Facility | | $5,011.87 | $7,585.78 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $7,413.10 / $11,220.18
| Facility | | $5,248.07 | $7,413.10 | $11,220.18 |