- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,422.17 / $8,277.29 / $16,821.70
| Facility | | $6,422.17 | $8,277.29 | $16,821.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,138.20 / $9,255.07 / $10,671.31
| Facility | | $6,138.20 | $9,255.07 | $10,671.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,385.74 / $8,004.66 / $9,151.40
| Facility | | $6,385.74 | $8,004.66 | $9,151.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,126.26 / $9,074.03 / $11,801.16
| Facility | | $5,126.26 | $9,074.03 | $11,801.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,785.13 / $10,631.64 / $13,973.24
| Facility | | $7,785.13 | $10,631.64 | $13,973.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $7,277.14 / $11,206.98
| Facility | | $1,286.00 | $7,277.14 | $11,206.98 |