- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,097.87 / $11,774.20 / $15,800.00
| Facility | | $7,097.87 | $11,774.20 | $15,800.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,226.90 / $10,226.90 / $10,321.29
| Facility | | $10,226.90 | $10,226.90 | $10,321.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,001.67 / $10,476.54 / $16,473.79
| Facility | | $6,001.67 | $10,476.54 | $16,473.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,828.30 / $9,480.00 / $21,741.43
| Facility | | $5,828.30 | $9,480.00 | $21,741.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,919.77 / $9,338.43 / $13,229.02
| Facility | | $6,919.77 | $9,338.43 | $13,229.02 |