- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,576.58 / $7,187.46 / $14,606.80
| Facility | | $5,576.58 | $7,187.46 | $14,606.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,990.70 / $7,090.59 / $8,572.32
| Facility | | $4,990.70 | $7,090.59 | $8,572.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,547.94 / $6,954.46 / $7,950.75
| Facility | | $5,547.94 | $6,954.46 | $7,950.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,451.30 / $7,879.28 / $10,247.34
| Facility | | $4,451.30 | $7,879.28 | $10,247.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,739.31 / $8,447.00 / $9,858.17
| Facility | | $5,739.31 | $8,447.00 | $9,858.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $6,318.98 / $9,731.39
| Facility | | $1,286.00 | $6,318.98 | $9,731.39 |