- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,723.60 / $11,723.60 / $13,894.80
| Facility | | $11,723.60 | $11,723.60 | $13,894.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,502.92 / $13,834.71 / $20,695.89
| Facility | | $8,502.92 | $13,834.71 | $20,695.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,588.48 / $11,867.77 / $20,191.64
| Facility | | $9,588.48 | $11,867.77 | $20,191.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,578.65 / $13,764.46 / $22,530.44
| Facility | | $8,578.65 | $13,764.46 | $22,530.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.08 / $7,894.30 / $11,496.76
| Facility | | $125.08 | $7,894.30 | $11,496.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,762.08 / $13,598.70 / $15,981.89
| Facility | | $9,762.08 | $13,598.70 | $15,981.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,810.28 / $14,505.00 / $18,284.74
| Facility | | $8,810.28 | $14,505.00 | $18,284.74 |