- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,911.43 / $12,345.10 / $16,858.40
| Facility | | $6,911.43 | $12,345.10 | $16,858.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,497.52 / $9,497.52 / $9,670.62
| Facility | | $9,497.52 | $9,497.52 | $9,670.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,021.96 / $11,814.15 / $20,051.52
| Facility | | $8,021.96 | $11,814.15 | $20,051.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,608.64 / $11,779.56 / $16,985.97
| Facility | | $6,608.64 | $11,779.56 | $16,985.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,442.54 / $12,442.54 / $15,108.80
| Facility | | $12,442.54 | $12,442.54 | $15,108.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,593.44 / $13,438.20 / $17,535.49
| Facility | | $9,593.44 | $13,438.20 | $17,535.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,809.49 / $12,081.60 / $16,683.20
| Facility | | $6,809.49 | $12,081.60 | $16,683.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,218.25 / $11,047.11 / $15,917.51
| Facility | | $6,218.25 | $11,047.11 | $15,917.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $6,112.72 / $8,343.64
| Facility | | $2,621.40 | $6,112.72 | $8,343.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,228.56 / $9,518.04 / $17,264.61
| Facility | | $4,228.56 | $9,518.04 | $17,264.61 |