- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $11,748.98 / $12,022.64
| Facility | | $9,772.37 | $11,748.98 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $12,589.25 / $18,197.01
| Facility | | $7,244.36 | $12,589.25 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $10,232.93 / $18,620.87
| Facility | | $7,585.78 | $10,232.93 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $9,772.37 / $12,589.25
| Facility | | $8,511.38 | $9,772.37 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $11,481.54 / $19,054.61
| Facility | | $7,244.36 | $11,481.54 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $7,413.10 / $9,772.37
| Facility | | $83.18 | $7,413.10 | $9,772.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $13,489.63 / $14,125.38
| Facility | | $10,715.19 | $13,489.63 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $12,302.69 / $16,982.44
| Facility | | $7,244.36 | $12,302.69 | $16,982.44 |