- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,341.61 / $9,341.61 / $11,071.60
| Facility | | $9,341.61 | $9,341.61 | $11,071.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,828.06 / $11,109.61 / $16,619.31
| Facility | | $6,828.06 | $11,109.61 | $16,619.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,640.28 / $9,456.46 / $16,089.08
| Facility | | $7,640.28 | $9,456.46 | $16,089.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,835.63 / $10,967.78 / $17,952.68
| Facility | | $6,835.63 | $10,967.78 | $17,952.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.44 / $6,339.31 / $9,160.84
| Facility | | $100.44 | $6,339.31 | $9,160.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,778.61 / $10,835.70 / $12,734.67
| Facility | | $7,778.61 | $10,835.70 | $12,734.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,020.19 / $11,557.86 / $14,569.62
| Facility | | $7,020.19 | $11,557.86 | $14,569.62 |