- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,181.51 / $9,255.17 / $13,227.50
| Facility | | $5,181.51 | $9,255.17 | $13,227.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,294.00 / $10,398.86 / $15,345.00
| Facility | | $7,294.00 | $10,398.86 | $15,345.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,954.51 / $8,831.16 / $13,835.48
| Facility | | $4,954.51 | $8,831.16 | $13,835.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,328.20 / $9,328.20 / $11,327.09
| Facility | | $9,328.20 | $9,328.20 | $11,327.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,090.97 / $8,385.28 / $11,732.15
| Facility | | $5,090.97 | $8,385.28 | $11,732.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,105.09 / $9,255.17 / $12,638.70
| Facility | | $5,105.09 | $9,255.17 | $12,638.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,661.83 / $8,282.04 / $12,734.42
| Facility | | $4,661.83 | $8,282.04 | $12,734.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $4,679.89 / $6,218.55
| Facility | | $2,621.40 | $4,679.89 | $6,218.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,423.21 / $7,079.08 / $12,943.31
| Facility | | $3,423.21 | $7,079.08 | $12,943.31 |