- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $13,182.57 / $13,803.84
| Facility | | $11,220.18 | $13,182.57 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $14,125.38 / $20,417.38
| Facility | | $8,128.31 | $14,125.38 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $11,748.98 / $20,892.96
| Facility | | $8,511.38 | $11,748.98 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $10,964.78 / $14,125.38
| Facility | | $9,772.37 | $10,964.78 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $13,182.57 / $21,379.62
| Facility | | $8,128.31 | $13,182.57 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.33 / $8,317.64 / $10,964.78
| Facility | | $93.33 | $8,317.64 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $15,135.61 / $15,848.93
| Facility | | $12,302.69 | $15,135.61 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $14,125.38 / $19,054.61
| Facility | | $8,128.31 | $14,125.38 | $19,054.61 |