- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $12,882.50 / $13,489.63
| Facility | | $10,964.78 | $12,882.50 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $13,803.84 / $19,952.62
| Facility | | $7,943.28 | $13,803.84 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $11,481.54 / $20,417.38
| Facility | | $8,317.64 | $11,481.54 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $10,715.19 / $13,803.84
| Facility | | $9,549.93 | $10,715.19 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $12,882.50 / $20,892.96
| Facility | | $7,943.28 | $12,882.50 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.20 / $8,128.31 / $10,715.19
| Facility | | $91.20 | $8,128.31 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $14,791.08 / $15,488.17
| Facility | | $12,022.64 | $14,791.08 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $13,803.84 / $18,620.87
| Facility | | $7,943.28 | $13,803.84 | $18,620.87 |