- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,105.50 / $10,105.50 / $11,977.10
| Facility | | $10,105.50 | $10,105.50 | $11,977.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,613.38 / $10,760.33 / $16,096.80
| Facility | | $6,613.38 | $10,760.33 | $16,096.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,265.08 / $10,229.79 / $17,404.80
| Facility | | $8,265.08 | $10,229.79 | $17,404.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,394.63 / $11,864.70 / $19,420.80
| Facility | | $7,394.63 | $11,864.70 | $19,420.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.29 / $6,140.01 / $9,728.61
| Facility | | $97.29 | $6,140.01 | $9,728.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,414.71 / $11,721.82 / $13,776.07
| Facility | | $8,414.71 | $11,721.82 | $13,776.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,594.29 / $12,503.03 / $15,761.09
| Facility | | $7,594.29 | $12,503.03 | $15,761.09 |