- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,800.88 / $7,476.54 / $15,194.30
| Facility | | $5,800.88 | $7,476.54 | $15,194.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,326.58 / $8,107.59 / $9,332.45
| Facility | | $5,326.58 | $8,107.59 | $9,332.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,728.99 / $7,181.41 / $8,210.20
| Facility | | $5,728.99 | $7,181.41 | $8,210.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,630.34 / $8,196.19 / $10,659.50
| Facility | | $4,630.34 | $8,196.19 | $10,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,318.08 / $9,560.32 / $10,930.18
| Facility | | $6,318.08 | $9,560.32 | $10,930.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $6,573.14 / $10,122.79
| Facility | | $1,286.00 | $6,573.14 | $10,122.79 |