- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,650.34 / $15,392.10 / $27,105.50
| Facility | | $9,650.34 | $15,392.10 | $27,105.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,845.05 / $10,845.05 / $10,845.05
| Facility | | $10,845.05 | $10,845.05 | $10,845.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,252.39 / $12,914.06 / $18,773.34
| Facility | | $6,252.39 | $12,914.06 | $18,773.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,923.29 / $11,968.16 / $20,049.47
| Facility | | $8,923.29 | $11,968.16 | $20,049.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,310.81 / $10,307.10 / $13,115.51
| Facility | | $7,310.81 | $10,307.10 | $13,115.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,501.62 / $11,458.70 / $17,569.22
| Facility | | $5,501.62 | $11,458.70 | $17,569.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,877.57 / $12,435.12 / $16,906.22
| Facility | | $8,877.57 | $12,435.12 | $16,906.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,728.40 / $9,641.02 / $25,115.12
| Facility | | $3,728.40 | $9,641.02 | $25,115.12 |