- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,260.06 / $12,578.90 / $17,177.59
| Facility | | $7,260.06 | $12,578.90 | $17,177.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,192.64 / $13,148.08 / $20,282.00
| Facility | | $8,192.64 | $13,148.08 | $20,282.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,733.79 / $12,002.64 / $18,021.29
| Facility | | $6,733.79 | $12,002.64 | $18,021.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,678.17 / $12,678.17 / $15,394.92
| Facility | | $12,678.17 | $12,678.17 | $15,394.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,938.45 / $12,578.90 / $16,999.09
| Facility | | $6,938.45 | $12,578.90 | $16,999.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,336.01 / $11,256.32 / $18,021.29
| Facility | | $6,336.01 | $11,256.32 | $18,021.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $6,913.48 / $9,501.77
| Facility | | $2,621.40 | $6,913.48 | $9,501.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,652.56 / $9,698.29 / $17,591.56
| Facility | | $4,652.56 | $9,698.29 | $17,591.56 |