- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,646.51 / $9,811.76 / $16,289.80
| Facility | | $7,646.51 | $9,811.76 | $16,289.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,608.16 / $9,595.69 / $13,883.82
| Facility | | $7,608.16 | $9,595.69 | $13,883.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,982.69 / $9,158.54 / $15,417.07
| Facility | | $5,982.69 | $9,158.54 | $15,417.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,457.42 / $10,465.37 / $15,047.92
| Facility | | $8,457.42 | $10,465.37 | $15,047.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.50 / $10,506.59 / $26,752.22
| Facility | | $5,257.50 | $10,506.59 | $26,752.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,257.50 / $10,031.31 / $14,098.51
| Facility | | $5,257.50 | $10,031.31 | $14,098.51 |