- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,505.51 / $10,914.00 / $18,119.80
| Facility | | $8,505.51 | $10,914.00 | $18,119.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,988.00 / $10,137.06 / $11,791.31
| Facility | | $2,988.00 | $10,137.06 | $11,791.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,546.74 / $10,000.70 / $16,613.93
| Facility | | $6,546.74 | $10,000.70 | $16,613.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,407.53 / $11,641.04 / $16,738.40
| Facility | | $9,407.53 | $11,641.04 | $16,738.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,848.13 / $11,686.89 / $29,274.43
| Facility | | $5,848.13 | $11,686.89 | $29,274.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,848.13 / $11,158.22 / $15,682.33
| Facility | | $5,848.13 | $11,158.22 | $15,682.33 |