- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $12,302.69 / $12,882.50
| Facility | | $10,471.29 | $12,302.69 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $13,182.57 / $19,054.61
| Facility | | $7,585.78 | $13,182.57 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $10,964.78 / $19,498.45
| Facility | | $7,943.28 | $10,964.78 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $10,471.29 / $13,182.57
| Facility | | $9,120.11 | $10,471.29 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $12,302.69 / $19,952.62
| Facility | | $7,585.78 | $12,302.69 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.10 / $7,762.47 / $10,232.93
| Facility | | $87.10 | $7,762.47 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $14,125.38 / $14,791.08
| Facility | | $11,481.54 | $14,125.38 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $13,182.57 / $17,782.79
| Facility | | $7,585.78 | $13,182.57 | $17,782.79 |