- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $12,589.25 / $12,882.50
| Facility | | $10,471.29 | $12,589.25 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $13,489.63 / $19,498.45
| Facility | | $7,762.47 | $13,489.63 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $10,964.78 / $19,498.45
| Facility | | $8,128.31 | $10,964.78 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $10,471.29 / $13,489.63
| Facility | | $9,120.11 | $10,471.29 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $12,302.69 / $20,417.38
| Facility | | $7,762.47 | $12,302.69 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $7,943.28 / $10,471.29
| Facility | | $89.13 | $7,943.28 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $14,454.40 / $14,791.08
| Facility | | $11,481.54 | $14,454.40 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $13,182.57 / $18,197.01
| Facility | | $7,762.47 | $13,182.57 | $18,197.01 |