- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,326.34 / $11,967.30 / $19,868.50
| Facility | | $9,326.34 | $11,967.30 | $19,868.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,988.71 / $11,486.55 / $11,952.00
| Facility | | $5,988.71 | $11,486.55 | $11,952.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,329.87 / $11,220.87 / $20,243.66
| Facility | | $7,329.87 | $11,220.87 | $20,243.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,315.40 / $13,081.50 / $22,846.97
| Facility | | $10,315.40 | $13,081.50 | $22,846.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,412.50 / $12,814.74 / $32,776.29
| Facility | | $6,412.50 | $12,814.74 | $32,776.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,772.59 / $11,569.18 / $16,976.20
| Facility | | $7,772.59 | $11,569.18 | $16,976.20 |