- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,214.73 / $11,224.10 / $20,553.00
| Facility | | $7,214.73 | $11,224.10 | $20,553.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,790.95 / $10,447.59 / $17,554.31
| Facility | | $6,790.95 | $10,447.59 | $17,554.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,703.22 / $10,261.57 / $17,011.07
| Facility | | $6,703.22 | $10,261.57 | $17,011.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,200.00 / $11,420.24 / $15,732.00
| Facility | | $8,200.00 | $11,420.24 | $15,732.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,029.74 / $12,078.73 / $19,247.15
| Facility | | $8,029.74 | $12,078.73 | $19,247.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,008.13 / $12,078.73 / $16,111.39
| Facility | | $6,008.13 | $12,078.73 | $16,111.39 |