- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $8,912.51 / $10,232.93
| Facility | | $6,918.31 | $8,912.51 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $5,754.40 / $9,332.54
| Facility | | $5,623.41 | $5,754.40 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $7,079.46 / $8,709.64
| Facility | | $6,025.60 | $7,079.46 | $8,709.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $10,000.00 / $12,589.25
| Facility | | $6,165.95 | $10,000.00 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $6,606.93 / $10,715.19
| Facility | | $6,456.54 | $6,606.93 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $6,760.83 / $10,964.78
| Facility | | $2,187.76 | $6,760.83 | $10,964.78 |