- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,551.78 / $13,586.00 / $17,738.50
| Facility | | $6,551.78 | $13,586.00 | $17,738.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $12,246.60 / $33,223.08
| Facility | | $5,840.42 | $12,246.60 | $33,223.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,676.57 / $12,693.37 / $19,179.83
| Facility | | $7,676.57 | $12,693.37 | $19,179.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,025.89 / $18,025.89 / $18,025.89
| Facility | | $18,025.89 | $18,025.89 | $18,025.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,060.43 / $12,787.42 / $19,746.79
| Facility | | $11,060.43 | $12,787.42 | $19,746.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $12,246.60 / $33,223.08
| Facility | | $5,840.42 | $12,246.60 | $33,223.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $9,750.00 / $25,964.14
| Facility | | $5,840.42 | $9,750.00 | $25,964.14 |