- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,292.84 / $9,399.48 / $19,102.20
| Facility | | $7,292.84 | $9,399.48 | $19,102.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,572.03 / $9,572.03 / $10,406.04
| Facility | | $9,572.03 | $9,572.03 | $10,406.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,180.94 / $9,001.45 / $10,291.00
| Facility | | $7,180.94 | $9,001.45 | $10,291.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,821.24 / $10,304.20 / $13,401.07
| Facility | | $5,821.24 | $10,304.20 | $13,401.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,007.83 / $11,007.83 / $11,966.96
| Facility | | $11,007.83 | $11,007.83 | $11,966.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $8,263.71 / $12,726.34
| Facility | | $1,286.00 | $8,263.71 | $12,726.34 |