- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,710.33 / $10,770.20 / $17,341.40
| Facility | | $4,710.33 | $10,770.20 | $17,341.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $15,162.38
| Facility | | $1,474.01 | $5,930.56 | $15,162.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,557.00 / $10,666.30 / $15,952.44
| Facility | | $7,557.00 | $10,666.30 | $15,952.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,814.76 / $9,444.84 / $19,835.33
| Facility | | $6,814.76 | $9,444.84 | $19,835.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,398.35 / $9,573.04 / $20,091.43
| Facility | | $6,398.35 | $9,573.04 | $20,091.43 |