- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,219.75 / $9,305.27 / $18,910.80
| Facility | | $7,219.75 | $9,305.27 | $18,910.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,944.82 / $8,749.23 / $10,068.01
| Facility | | $5,944.82 | $8,749.23 | $10,068.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,067.34 / $8,859.06 / $10,128.20
| Facility | | $7,067.34 | $8,859.06 | $10,128.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,762.90 / $10,200.94 / $13,266.76
| Facility | | $5,762.90 | $10,200.94 | $13,266.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,836.54 / $10,061.61 / $11,578.21
| Facility | | $6,836.54 | $10,061.61 | $11,578.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $8,180.90 / $12,598.79
| Facility | | $1,286.00 | $8,180.90 | $12,598.79 |