- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,152.83 / $10,037.40 / $14,961.00
| Facility | | $7,152.83 | $10,037.40 | $14,961.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,409.97 / $9,524.41 / $12,433.32
| Facility | | $4,409.97 | $9,524.41 | $12,433.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,825.04 / $9,042.57 / $14,449.50
| Facility | | $5,825.04 | $9,042.57 | $14,449.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,239.92 / $8,614.58 / $15,592.00
| Facility | | $6,239.92 | $8,614.58 | $15,592.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.33 / $96.35 / $154.71
| Facility | | $66.33 | $96.35 | $154.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,669.37 / $9,499.43 / $15,079.02
| Facility | | $6,669.37 | $9,499.43 | $15,079.02 |