- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,593.46 / $11,075.80 / $22,509.00
| Facility | | $8,593.46 | $11,075.80 | $22,509.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,611.58 / $10,164.41 / $10,198.74
| Facility | | $7,611.58 | $10,164.41 | $10,198.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,670.13 / $9,614.67 / $10,992.05
| Facility | | $7,670.13 | $9,614.67 | $10,992.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,859.42 / $12,141.90 / $15,791.07
| Facility | | $6,859.42 | $12,141.90 | $15,791.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,753.32 / $10,699.34 / $11,728.55
| Facility | | $8,753.32 | $10,699.34 | $11,728.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $11,093.00 / $15,510.45
| Facility | | $1,518.00 | $11,093.00 | $15,510.45 |