- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,546.20 / $11,546.20 / $13,684.50
| Facility | | $11,546.20 | $11,546.20 | $13,684.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,997.65 / $14,639.66 / $21,900.04
| Facility | | $8,997.65 | $14,639.66 | $21,900.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,443.35 / $11,688.14 / $19,886.02
| Facility | | $9,443.35 | $11,688.14 | $19,886.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,448.79 / $13,556.12 / $22,189.42
| Facility | | $8,448.79 | $13,556.12 | $22,189.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $132.36 / $8,353.61 / $11,935.30
| Facility | | $132.36 | $8,353.61 | $11,935.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,614.32 / $13,392.87 / $15,739.98
| Facility | | $9,614.32 | $13,392.87 | $15,739.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,676.92 / $14,285.46 / $18,007.98
| Facility | | $8,676.92 | $14,285.46 | $18,007.98 |