- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,409.29 / $10,409.29 / $12,337.10
| Facility | | $10,409.29 | $10,409.29 | $12,337.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,074.67 / $13,137.93 / $19,653.54
| Facility | | $8,074.67 | $13,137.93 | $19,653.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,513.53 / $10,537.29 / $17,927.98
| Facility | | $8,513.53 | $10,537.29 | $17,927.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,616.91 / $12,221.34 / $20,004.58
| Facility | | $7,616.91 | $12,221.34 | $20,004.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $118.78 / $7,496.70 / $10,710.98
| Facility | | $118.78 | $7,496.70 | $10,710.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,667.67 / $12,074.17 / $14,190.18
| Facility | | $8,667.67 | $12,074.17 | $14,190.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,822.57 / $12,878.87 / $16,234.86
| Facility | | $7,822.57 | $12,878.87 | $16,234.86 |