- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,451.37 / $9,451.37 / $11,201.80
| Facility | | $9,451.37 | $9,451.37 | $11,201.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,785.56 / $11,040.47 / $16,515.87
| Facility | | $6,785.56 | $11,040.47 | $16,515.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,730.07 / $9,567.59 / $16,278.15
| Facility | | $7,730.07 | $9,567.59 | $16,278.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,915.96 / $11,096.67 / $18,163.65
| Facility | | $6,915.96 | $11,096.67 | $18,163.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $99.82 / $6,299.86 / $9,268.49
| Facility | | $99.82 | $6,299.86 | $9,268.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,870.02 / $10,963.04 / $12,884.32
| Facility | | $7,870.02 | $10,963.04 | $12,884.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,102.69 / $11,693.68 / $14,740.84
| Facility | | $7,102.69 | $11,693.68 | $14,740.84 |