- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,579.82 / $8,480.50 / $17,234.59
| Facility | | $6,579.82 | $8,480.50 | $17,234.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,493.84 / $7,198.60 / $9,370.54
| Facility | | $5,493.84 | $7,198.60 | $9,370.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,394.97 / $8,016.23 / $9,164.62
| Facility | | $6,394.97 | $8,016.23 | $9,164.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,252.10 / $9,296.78 / $12,090.86
| Facility | | $5,252.10 | $9,296.78 | $12,090.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,317.92 / $10,672.64 / $11,539.12
| Facility | | $6,317.92 | $10,672.64 | $11,539.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $7,455.78 / $11,482.09
| Facility | | $1,286.00 | $7,455.78 | $11,482.09 |