- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,617.12 / $11,106.30 / $22,570.90
| Facility | | $8,617.12 | $11,106.30 | $22,570.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,765.78 / $7,765.78 / $12,007.17
| Facility | | $7,765.78 | $7,765.78 | $12,007.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,634.63 / $9,570.17 / $10,941.18
| Facility | | $7,634.63 | $9,570.17 | $10,941.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,878.30 / $12,175.31 / $15,834.52
| Facility | | $6,878.30 | $12,175.31 | $15,834.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,032.90 / $14,032.90 / $15,663.41
| Facility | | $14,032.90 | $14,032.90 | $15,663.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $9,764.29 / $15,037.26
| Facility | | $1,286.00 | $9,764.29 | $15,037.26 |