- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,423.62 / $10,856.90 / $22,064.10
| Facility | | $8,423.62 | $10,856.90 | $22,064.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,528.94 / $10,328.33 / $11,023.54
| Facility | | $7,528.94 | $10,328.33 | $11,023.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,101.10 / $10,154.90 / $11,609.68
| Facility | | $8,101.10 | $10,154.90 | $11,609.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,723.86 / $11,901.94 / $15,478.98
| Facility | | $6,723.86 | $11,901.94 | $15,478.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,877.58 / $12,677.07 / $14,000.92
| Facility | | $11,877.58 | $12,677.07 | $14,000.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $10,814.60 / $15,203.92
| Facility | | $1,518.00 | $10,814.60 | $15,203.92 |