- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,917.34 / $8,915.51 / $18,118.70
| Facility | | $6,917.34 | $8,915.51 | $18,118.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,255.28 / $10,053.60 / $10,362.19
| Facility | | $7,255.28 | $10,053.60 | $10,362.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,755.65 / $8,468.35 / $9,681.51
| Facility | | $6,755.65 | $8,468.35 | $9,681.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,521.52 / $9,773.66 / $12,711.07
| Facility | | $5,521.52 | $9,773.66 | $12,711.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,343.57 / $11,969.56 / $12,551.34
| Facility | | $8,343.57 | $11,969.56 | $12,551.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $7,838.24 / $12,071.08
| Facility | | $1,286.00 | $7,838.24 | $12,071.08 |