- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,513.01 / $8,513.01 / $10,089.60
| Facility | | $8,513.01 | $8,513.01 | $10,089.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,096.87 / $9,919.93 / $14,839.61
| Facility | | $6,096.87 | $9,919.93 | $14,839.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,962.59 / $8,617.68 / $14,661.99
| Facility | | $6,962.59 | $8,617.68 | $14,661.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,229.31 / $9,994.95 / $16,360.29
| Facility | | $6,229.31 | $9,994.95 | $16,360.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.69 / $5,660.46 / $8,348.28
| Facility | | $89.69 | $5,660.46 | $8,348.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,088.65 / $9,874.58 / $11,605.11
| Facility | | $7,088.65 | $9,874.58 | $11,605.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,397.51 / $10,532.69 / $13,277.31
| Facility | | $6,397.51 | $10,532.69 | $13,277.31 |