- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,741.76 / $10,684.20 / $17,738.30
| Facility | | $6,741.76 | $10,684.20 | $17,738.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,988.00 / $10,012.91 / $15,835.10
| Facility | | $2,988.00 | $10,012.91 | $15,835.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,424.33 / $9,624.03 / $16,303.30
| Facility | | $6,424.33 | $9,624.03 | $16,303.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,272.67 / $11,904.34 / $18,174.00
| Facility | | $9,272.67 | $11,904.34 | $18,174.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,651.35 / $11,440.84 / $26,208.00
| Facility | | $7,651.35 | $11,440.84 | $26,208.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,725.00 / $11,371.00 / $19,794.75
| Facility | | $5,725.00 | $11,371.00 | $19,794.75 |