- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,016.71 / $8,469.03 / $14,903.00
| Facility | | $5,016.71 | $8,469.03 | $14,903.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,091.19 / $8,091.19 / $8,139.36
| Facility | | $8,091.19 | $8,091.19 | $8,139.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,095.64 / $7,478.16 / $12,370.93
| Facility | | $5,095.64 | $7,478.16 | $12,370.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,563.47 / $7,806.38 / $11,237.62
| Facility | | $4,563.47 | $7,806.38 | $11,237.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,096.10 / $16,096.10 / $18,890.14
| Facility | | $16,096.10 | $16,096.10 | $18,890.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $7,380.69 / $10,542.47
| Facility | | $1,787.00 | $7,380.69 | $10,542.47 |