- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,486.74 / $10,820.40 / $16,475.20
| Facility | | $7,486.74 | $10,820.40 | $16,475.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,250.60 / $12,250.60 / $13,031.33
| Facility | | $12,250.60 | $12,250.60 | $13,031.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,832.33 / $10,866.04 / $16,252.95
| Facility | | $6,832.33 | $10,866.04 | $16,252.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,461.16 / $7,903.56 / $9,647.04
| Facility | | $6,461.16 | $7,903.56 | $9,647.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.34 / $121.77 / $1,105.04
| Facility | | $83.34 | $121.77 | $1,105.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,294.96 / $11,479.92 / $18,893.27
| Facility | | $8,294.96 | $11,479.92 | $18,893.27 |