- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,067.70 / $11,272.80 / $19,851.50
| Facility | | $7,067.70 | $11,272.80 | $19,851.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,879.54 / $9,224.03 / $13,409.09
| Facility | | $4,879.54 | $9,224.03 | $13,409.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,621.71 / $8,765.23 / $14,683.80
| Facility | | $6,621.71 | $8,765.23 | $14,683.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,420.27 / $8,098.80 / $9,966.62
| Facility | | $5,420.27 | $8,098.80 | $9,966.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,876.27 / $8,226.57 / $12,549.04
| Facility | | $4,876.27 | $8,226.57 | $12,549.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,340.91 / $8,881.94 / $12,075.48
| Facility | | $6,340.91 | $8,881.94 | $12,075.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,730.60 / $7,060.88 / $18,393.78
| Facility | | $2,730.60 | $7,060.88 | $18,393.78 |