- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,961.02 / $10,225.79 / $25,433.00
| Facility | | $7,961.02 | $10,225.79 | $25,433.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.72 / $9,315.10 / $12,108.31
| Facility | | $5,843.72 | $9,315.10 | $12,108.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,182.29 / $9,464.11 / $15,995.75
| Facility | | $6,182.29 | $9,464.11 | $15,995.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,805.29 / $10,895.83 / $15,666.87
| Facility | | $8,805.29 | $10,895.83 | $15,666.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,315.56 / $11,004.43 / $27,644.79
| Facility | | $7,315.56 | $11,004.43 | $27,644.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,473.75 / $10,443.92 / $14,678.41
| Facility | | $5,473.75 | $10,443.92 | $14,678.41 |