- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,523.07 / $10,342.00 / $16,652.00
| Facility | | $4,523.07 | $10,342.00 | $16,652.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,303.65 / $15,230.76
| Facility | | $1,474.01 | $6,303.65 | $15,230.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,486.29 / $10,242.27 / $13,924.00
| Facility | | $7,486.29 | $10,242.27 | $13,924.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,543.84 / $9,069.37 / $19,046.79
| Facility | | $6,543.84 | $9,069.37 | $19,046.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,143.99 / $9,069.37 / $19,292.72
| Facility | | $6,143.99 | $9,069.37 | $19,292.72 |