- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,722.76 / $11,827.30 / $19,636.09
| Facility | | $8,722.76 | $11,827.30 | $19,636.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,370.94 / $7,370.94 / $7,370.94
| Facility | | $7,370.94 | $7,370.94 | $7,370.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,066.97 / $10,586.74 / $17,934.16
| Facility | | $7,066.97 | $10,586.74 | $17,934.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,194.76 / $12,615.17 / $18,139.08
| Facility | | $10,194.76 | $12,615.17 | $18,139.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,337.50 / $12,664.86 / $31,600.71
| Facility | | $6,337.50 | $12,664.86 | $31,600.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,337.50 / $12,091.95 / $16,994.64
| Facility | | $6,337.50 | $12,091.95 | $16,994.64 |