- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,345.15 / $9,466.90 / $19,239.30
| Facility | | $7,345.15 | $9,466.90 | $19,239.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,591.56 / $8,060.49 / $10,492.49
| Facility | | $7,591.56 | $8,060.49 | $10,492.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,538.07 / $9,449.12 / $10,802.80
| Facility | | $7,538.07 | $9,449.12 | $10,802.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,863.00 / $10,378.12 / $13,497.20
| Facility | | $5,863.00 | $10,378.12 | $13,497.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,808.57 / $8,808.57 / $9,269.56
| Facility | | $8,808.57 | $8,808.57 | $9,269.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $8,323.00 / $12,817.63
| Facility | | $1,286.00 | $8,323.00 | $12,817.63 |