- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,267.04 / $14,970.70 / $20,715.50
| Facility | | $9,267.04 | $14,970.70 | $20,715.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,256.69 / $5,256.69 / $5,256.69
| Facility | | $5,256.69 | $5,256.69 | $5,256.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,588.07 / $12,261.20 / $18,575.98
| Facility | | $7,588.07 | $12,261.20 | $18,575.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,941.91 / $13,842.42 / $21,441.96
| Facility | | $8,941.91 | $13,842.42 | $21,441.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,138.28 / $13,303.15 / $20,291.50
| Facility | | $8,138.28 | $13,303.15 | $20,291.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,264.00 / $16,117.95 / $23,025.94
| Facility | | $7,264.00 | $16,117.95 | $23,025.94 |