- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $10,232.93 / $13,182.57
| Facility | | $8,912.51 | $10,232.93 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $5,370.32 / $13,489.63
| Facility | | $1,513.56 | $5,370.32 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,168.69 / $10,232.93 / $17,782.79
| Facility | | $4,168.69 | $10,232.93 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $9,549.93 / $13,803.84
| Facility | | $8,511.38 | $9,549.93 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $11,748.98 / $19,054.61
| Facility | | $5,888.44 | $11,748.98 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $10,715.19 / $16,218.10
| Facility | | $7,413.10 | $10,715.19 | $16,218.10 |