- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,890.86 / $11,459.10 / $23,287.90
| Facility | | $8,890.86 | $11,459.10 | $23,287.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,700.03 / $10,394.87 / $14,939.49
| Facility | | $6,700.03 | $10,394.87 | $14,939.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,250.20 / $10,341.79 / $11,823.35
| Facility | | $8,250.20 | $10,341.79 | $11,823.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,096.80 / $12,562.09 / $16,337.54
| Facility | | $7,096.80 | $12,562.09 | $16,337.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,705.03 / $11,924.43 / $16,243.29
| Facility | | $7,705.03 | $11,924.43 | $16,243.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $11,414.44 / $16,047.21
| Facility | | $1,518.00 | $11,414.44 | $16,047.21 |