- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,337.20 / $9,241.75 / $15,002.30
| Facility | | $6,337.20 | $9,241.75 | $15,002.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,411.25 / $10,607.94 / $25,026.83
| Facility | | $9,411.25 | $10,607.94 | $25,026.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,461.50 / $14,872.58 / $19,067.41
| Facility | | $10,461.50 | $14,872.58 | $19,067.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,441.36 / $14,387.18 / $18,197.16
| Facility | | $7,441.36 | $14,387.18 | $18,197.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,611.81 / $9,938.84 / $15,892.60
| Facility | | $6,611.81 | $9,938.84 | $15,892.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,732.44 / $13,222.57 / $20,088.91
| Facility | | $7,732.44 | $13,222.57 | $20,088.91 |