- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $11,748.98 / $18,197.01
| Facility | | $8,317.64 | $11,748.98 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $10,000.00 / $15,135.61
| Facility | | $6,760.83 | $10,000.00 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $10,471.29 / $17,378.01
| Facility | | $7,762.47 | $10,471.29 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $9,332.54 / $16,595.87
| Facility | | $6,606.93 | $9,332.54 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $7,762.47 / $12,882.50
| Facility | | $4,897.79 | $7,762.47 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $12,589.25 / $17,782.79
| Facility | | $6,918.31 | $12,589.25 | $17,782.79 |