- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,674.06 / $8,338.87 / $12,874.50
| Facility | | $5,674.06 | $8,338.87 | $12,874.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,206.21 / $14,206.21 / $14,206.21
| Facility | | $14,206.21 | $14,206.21 | $14,206.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,742.00 / $12,428.06 / $15,933.41
| Facility | | $8,742.00 | $12,428.06 | $15,933.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,385.96 / $12,346.65 / $15,616.28
| Facility | | $6,385.96 | $12,346.65 | $15,616.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,674.06 / $8,529.21 / $13,638.60
| Facility | | $5,674.06 | $8,529.21 | $13,638.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,635.75 / $11,347.22 / $17,239.73
| Facility | | $6,635.75 | $11,347.22 | $17,239.73 |