- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,398.41 / $10,057.00 / $16,193.00
| Facility | | $4,398.41 | $10,057.00 | $16,193.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $13,802.49
| Facility | | $1,474.01 | $5,930.56 | $13,802.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,279.96 / $10,515.22 / $14,896.07
| Facility | | $7,279.96 | $10,515.22 | $14,896.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,363.48 / $8,819.40 / $18,521.83
| Facility | | $6,363.48 | $8,819.40 | $18,521.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,974.65 / $8,819.40 / $18,760.98
| Facility | | $5,974.65 | $8,819.40 | $18,760.98 |