- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,141.98 / $7,916.18 / $16,087.80
| Facility | | $6,141.98 | $7,916.18 | $16,087.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,668.59 / $5,584.71 / $9,354.37
| Facility | | $4,668.59 | $5,584.71 | $9,354.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,112.39 / $7,662.01 / $8,759.66
| Facility | | $6,112.39 | $7,662.01 | $8,759.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,902.60 / $8,678.14 / $11,286.29
| Facility | | $4,902.60 | $8,678.14 | $11,286.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,368.88 / $7,248.15 / $10,757.54
| Facility | | $5,368.88 | $7,248.15 | $10,757.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $6,959.65 / $10,718.04
| Facility | | $1,286.00 | $6,959.65 | $10,718.04 |