- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,845.37 / $9,845.37 / $11,668.70
| Facility | | $9,845.37 | $9,845.37 | $11,668.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,775.00 / $12,650.35 / $18,924.16
| Facility | | $7,775.00 | $12,650.35 | $18,924.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,052.31 / $9,966.43 / $16,956.73
| Facility | | $8,052.31 | $9,966.43 | $16,956.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,204.26 / $11,559.25 / $18,920.83
| Facility | | $7,204.26 | $11,559.25 | $18,920.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.37 / $7,218.48 / $10,313.46
| Facility | | $114.37 | $7,218.48 | $10,313.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,198.09 / $11,420.05 / $13,421.42
| Facility | | $8,198.09 | $11,420.05 | $13,421.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,398.78 / $12,181.15 / $15,355.33
| Facility | | $7,398.78 | $12,181.15 | $15,355.33 |