- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,831.90 / $10,831.90 / $12,837.90
| Facility | | $10,831.90 | $10,831.90 | $12,837.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,317.33 / $11,905.69 / $17,810.18
| Facility | | $7,317.33 | $11,905.69 | $17,810.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,859.14 / $10,965.05 / $18,655.77
| Facility | | $8,859.14 | $10,965.05 | $18,655.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,926.12 / $12,717.47 / $20,816.66
| Facility | | $7,926.12 | $12,717.47 | $20,816.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.64 / $6,793.57 / $10,622.26
| Facility | | $107.64 | $6,793.57 | $10,622.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,019.53 / $12,564.32 / $14,766.23
| Facility | | $9,019.53 | $12,564.32 | $14,766.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,140.12 / $13,401.69 / $16,893.91
| Facility | | $8,140.12 | $13,401.69 | $16,893.91 |