- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,479.95 / $9,479.95 / $11,235.60
| Facility | | $9,479.95 | $9,479.95 | $11,235.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,938.11 / $11,288.69 / $16,887.18
| Facility | | $6,938.11 | $11,288.69 | $16,887.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,753.43 / $9,596.52 / $16,327.36
| Facility | | $7,753.43 | $9,596.52 | $16,327.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,936.86 / $11,130.22 / $18,218.56
| Facility | | $6,936.86 | $11,130.22 | $18,218.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.06 / $6,441.49 / $9,296.51
| Facility | | $102.06 | $6,441.49 | $9,296.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,893.81 / $10,996.18 / $12,923.27
| Facility | | $7,893.81 | $10,996.18 | $12,923.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,124.16 / $11,729.03 / $14,785.40
| Facility | | $7,124.16 | $11,729.03 | $14,785.40 |