- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,464.47 / $12,601.30 / $22,174.60
| Facility | | $7,464.47 | $12,601.30 | $22,174.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,730.00 / $6,108.79 / $8,920.51
| Facility | | $5,730.00 | $6,108.79 | $8,920.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,460.62 / $8,060.42 / $13,327.45
| Facility | | $5,460.62 | $8,060.42 | $13,327.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,790.11 / $11,615.29 / $16,433.03
| Facility | | $6,790.11 | $11,615.29 | $16,433.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,890.70 / $22,890.70 / $26,864.18
| Facility | | $22,890.70 | $22,890.70 | $26,864.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $10,981.89 / $15,686.38
| Facility | | $1,787.00 | $10,981.89 | $15,686.38 |