- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,322.66 / $14,869.40 / $26,185.10
| Facility | | $9,322.66 | $14,869.40 | $26,185.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,198.00 / $12,765.11 / $18,556.82
| Facility | | $6,198.00 | $12,765.11 | $18,556.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,620.31 / $11,561.78 / $19,368.68
| Facility | | $8,620.31 | $11,561.78 | $19,368.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,200.82 / $10,334.29 / $12,918.19
| Facility | | $7,200.82 | $10,334.29 | $12,918.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,438.16 / $11,317.12 / $17,366.59
| Facility | | $5,438.16 | $11,317.12 | $17,366.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,775.18 / $12,291.70 / $16,711.24
| Facility | | $8,775.18 | $12,291.70 | $16,711.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,601.80 / $9,313.65 / $24,262.33
| Facility | | $3,601.80 | $9,313.65 | $24,262.33 |