- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,075.50 / $10,075.50 / $11,941.40
| Facility | | $10,075.50 | $10,075.50 | $11,941.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,590.85 / $12,350.71 / $18,475.91
| Facility | | $7,590.85 | $12,350.71 | $18,475.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,240.48 / $10,199.34 / $17,353.00
| Facility | | $8,240.48 | $10,199.34 | $17,353.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,372.62 / $11,829.39 / $19,363.00
| Facility | | $7,372.62 | $11,829.39 | $19,363.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $111.66 / $7,047.50 / $10,069.19
| Facility | | $111.66 | $7,047.50 | $10,069.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,389.68 / $11,686.93 / $13,735.07
| Facility | | $8,389.68 | $11,686.93 | $13,735.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,571.68 / $12,465.82 / $15,714.18
| Facility | | $7,571.68 | $12,465.82 | $15,714.18 |