- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,003.75 / $17,150.30 / $20,708.59
| Facility | | $9,003.75 | $17,150.30 | $20,708.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $15,486.45 / $24,657.48
| Facility | | $6,916.00 | $15,486.45 | $24,657.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,307.60 / $14,789.48 / $18,548.96
| Facility | | $11,307.60 | $14,789.48 | $18,548.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,750.76 / $11,896.50 / $15,910.40
| Facility | | $7,750.76 | $11,896.50 | $15,910.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,514.37 / $14,891.10 / $22,556.88
| Facility | | $8,514.37 | $14,891.10 | $22,556.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,350.64 / $13,129.84 / $17,242.79
| Facility | | $9,350.64 | $13,129.84 | $17,242.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $14,120.76 / $20,341.27
| Facility | | $3,775.00 | $14,120.76 | $20,341.27 |