- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $14,454.40 / $20,417.38
| Facility | | $9,549.93 | $14,454.40 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $12,302.69 / $12,302.69
| Facility | | $12,302.69 | $12,302.69 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $18,620.87 / $31,622.78
| Facility | | $6,918.31 | $18,620.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $11,748.98 / $19,498.45
| Facility | | $8,511.38 | $11,748.98 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $13,182.57 / $19,054.61
| Facility | | $10,471.29 | $13,182.57 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $12,882.50 / $18,620.87
| Facility | | $6,918.31 | $12,882.50 | $18,620.87 |