- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,419.68 / $9,562.95 / $19,434.50
| Facility | | $7,419.68 | $9,562.95 | $19,434.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,796.57 / $9,650.11 / $12,601.41
| Facility | | $6,796.57 | $9,650.11 | $12,601.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,443.64 / $9,330.76 / $10,667.47
| Facility | | $7,443.64 | $9,330.76 | $10,667.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,922.49 / $10,483.43 / $13,634.15
| Facility | | $5,922.49 | $10,483.43 | $13,634.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,737.88 / $11,950.62 / $16,165.21
| Facility | | $10,737.88 | $11,950.62 | $16,165.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $9,525.68 / $13,391.86
| Facility | | $1,518.00 | $9,525.68 | $13,391.86 |