- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,018.74 / $11,195.80 / $15,273.10
| Facility | | $7,018.74 | $11,195.80 | $15,273.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,889.40 / $9,022.62 / $13,620.54
| Facility | | $7,889.40 | $9,022.62 | $13,620.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,426.55 / $10,282.01 / $15,424.97
| Facility | | $6,426.55 | $10,282.01 | $15,424.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,564.00 / $9,234.36 / $15,808.73
| Facility | | $6,564.00 | $9,234.36 | $15,808.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,150.00 / $10,554.49 / $14,207.15
| Facility | | $7,150.00 | $10,554.49 | $14,207.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,236.80 / $11,967.46 / $17,173.03
| Facility | | $6,236.80 | $11,967.46 | $17,173.03 |