- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,532.98 / $8,961.45 / $14,878.10
| Facility | | $6,532.98 | $8,961.45 | $14,878.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,736.21 / $6,887.34 / $7,486.00
| Facility | | $5,736.21 | $6,887.34 | $7,486.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,415.85 / $8,113.27 / $13,744.05
| Facility | | $5,415.85 | $8,113.27 | $13,744.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,724.49 / $9,558.42 / $13,743.84
| Facility | | $7,724.49 | $9,558.42 | $13,743.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,801.88 / $9,596.07 / $24,217.57
| Facility | | $4,801.88 | $9,596.07 | $24,217.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,801.88 / $9,226.00 / $12,876.71
| Facility | | $4,801.88 | $9,226.00 | $12,876.71 |