- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,534.09 / $9,534.09 / $11,299.80
| Facility | | $9,534.09 | $9,534.09 | $11,299.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,675.84 / $12,489.01 / $18,682.80
| Facility | | $7,675.84 | $12,489.01 | $18,682.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,797.71 / $9,651.32 / $16,420.59
| Facility | | $7,797.71 | $9,651.32 | $16,420.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,976.48 / $11,193.78 / $18,322.59
| Facility | | $6,976.48 | $11,193.78 | $18,322.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $112.92 / $7,126.41 / $10,181.93
| Facility | | $112.92 | $7,126.41 | $10,181.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,938.89 / $11,058.98 / $12,997.07
| Facility | | $7,938.89 | $11,058.98 | $12,997.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,164.85 / $11,796.01 / $14,869.84
| Facility | | $7,164.85 | $11,796.01 | $14,869.84 |