- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,787.32 / $12,614.50 / $25,636.10
| Facility | | $9,787.32 | $12,614.50 | $25,636.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,706.24 / $11,974.83 / $16,322.51
| Facility | | $8,706.24 | $11,974.83 | $16,322.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,323.71 / $11,687.48 / $13,361.81
| Facility | | $9,323.71 | $11,687.48 | $13,361.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,812.38 / $13,828.73 / $17,984.84
| Facility | | $7,812.38 | $13,828.73 | $17,984.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,556.86 / $13,771.05 / $18,770.89
| Facility | | $12,556.86 | $13,771.05 | $18,770.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $12,565.36 / $17,665.25
| Facility | | $1,518.00 | $12,565.36 | $17,665.25 |