- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,559.02 / $11,038.40 / $14,508.30
| Facility | | $7,559.02 | $11,038.40 | $14,508.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,020.19 / $8,020.19 / $8,020.19
| Facility | | $8,020.19 | $8,020.19 | $8,020.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,239.29 / $14,268.56 / $24,133.34
| Facility | | $5,239.29 | $14,268.56 | $24,133.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,956.22 / $11,087.48 / $18,557.93
| Facility | | $7,956.22 | $11,087.48 | $18,557.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,508.21 / $12,373.77 / $18,066.71
| Facility | | $9,508.21 | $12,373.77 | $18,066.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,304.75 / $10,566.28 / $16,867.63
| Facility | | $6,304.75 | $10,566.28 | $16,867.63 |