- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,660.33 / $9,726.06 / $12,783.40
| Facility | | $6,660.33 | $9,726.06 | $12,783.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,967.65 / $8,967.65 / $8,967.65
| Facility | | $8,967.65 | $8,967.65 | $8,967.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,242.35 / $14,138.26 / $23,912.97
| Facility | | $5,242.35 | $14,138.26 | $23,912.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,080.54 / $9,769.28 / $16,351.57
| Facility | | $7,080.54 | $9,769.28 | $16,351.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,377.79 / $10,902.65 / $15,918.76
| Facility | | $8,377.79 | $10,902.65 | $15,918.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,377.79 / $10,135.46 / $15,918.76
| Facility | | $8,377.79 | $10,135.46 | $15,918.76 |