- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,421.00 / $7,480.25 / $12,651.40
| Facility | | $2,421.00 | $7,480.25 | $12,651.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,029.12 / $8,548.62 / $11,318.63
| Facility | | $7,029.12 | $8,548.62 | $11,318.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,974.70 / $5,442.90 / $9,095.92
| Facility | | $1,974.70 | $5,442.90 | $9,095.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,873.31 / $10,971.93 / $18,364.53
| Facility | | $7,873.31 | $10,971.93 | $18,364.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,541.00 / $8,740.33 / $14,727.22
| Facility | | $6,541.00 | $8,740.33 | $14,727.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,427.00 / $8,513.00 / $13,729.41
| Facility | | $5,427.00 | $8,513.00 | $13,729.41 |