- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,035.47 / $11,275.90 / $18,268.00
| Facility | | $8,035.47 | $11,275.90 | $18,268.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,726.73 / $6,726.73 / $8,956.83
| Facility | | $6,726.73 | $6,726.73 | $8,956.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,541.96 / $10,155.51 / $15,268.50
| Facility | | $6,541.96 | $10,155.51 | $15,268.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,009.90 / $9,677.59 / $17,516.00
| Facility | | $7,009.90 | $9,677.59 | $17,516.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.51 / $103.11 / $173.80
| Facility | | $74.51 | $103.11 | $173.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,721.05 / $10,685.64 / $17,586.06
| Facility | | $7,721.05 | $10,685.64 | $17,586.06 |