- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,148.48 / $13,094.30 / $18,540.09
| Facility | | $7,148.48 | $13,094.30 | $18,540.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,537.82 / $15,537.82 / $15,537.82
| Facility | | $15,537.82 | $15,537.82 | $15,537.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,596.15 / $12,199.92 / $19,533.93
| Facility | | $7,596.15 | $12,199.92 | $19,533.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,432.26 / $11,779.01 / $20,956.72
| Facility | | $7,432.26 | $11,779.01 | $20,956.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,264.00 / $11,113.48 / $24,781.36
| Facility | | $5,264.00 | $11,113.48 | $24,781.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $10,871.37 / $22,022.01
| Facility | | $3,308.00 | $10,871.37 | $22,022.01 |