- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,009.30 / $12,009.30 / $14,233.40
| Facility | | $12,009.30 | $12,009.30 | $14,233.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,752.46 / $14,240.73 / $21,303.27
| Facility | | $8,752.46 | $14,240.73 | $21,303.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,822.17 / $12,157.01 / $20,683.74
| Facility | | $9,822.17 | $12,157.01 | $20,683.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,787.71 / $14,099.92 / $23,079.54
| Facility | | $8,787.71 | $14,099.92 | $23,079.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.75 / $8,125.97 / $11,776.95
| Facility | | $128.75 | $8,125.97 | $11,776.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $13,930.12 / $16,371.39
| Facility | | $10,000.00 | $13,930.12 | $16,371.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,382.90 / $14,748.54 / $18,730.36
| Facility | | $8,382.90 | $14,748.54 | $18,730.36 |