- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,265.26 / $10,652.80 / $21,649.30
| Facility | | $8,265.26 | $10,652.80 | $21,649.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,882.67 / $7,882.67 / $12,415.99
| Facility | | $7,882.67 | $7,882.67 | $12,415.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,515.03 / $10,673.77 / $12,202.88
| Facility | | $8,515.03 | $10,673.77 | $12,202.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,597.45 / $11,678.18 / $15,187.97
| Facility | | $6,597.45 | $11,678.18 | $15,187.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,065.07 / $9,065.07 / $15,039.03
| Facility | | $9,065.07 | $9,065.07 | $15,039.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $9,365.61 / $14,423.27
| Facility | | $1,286.00 | $9,365.61 | $14,423.27 |