- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,640.31 / $11,042.30 / $16,813.09
| Facility | | $7,640.31 | $11,042.30 | $16,813.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,243.91 / $9,243.91 / $9,243.91
| Facility | | $9,243.91 | $9,243.91 | $9,243.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,970.29 / $11,085.44 / $16,581.12
| Facility | | $6,970.29 | $11,085.44 | $16,581.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,593.69 / $8,065.68 / $9,844.93
| Facility | | $6,593.69 | $8,065.68 | $9,844.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.04 / $124.27 / $1,105.04
| Facility | | $85.04 | $124.27 | $1,105.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,465.12 / $11,715.40 / $19,280.82
| Facility | | $8,465.12 | $11,715.40 | $19,280.82 |