- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,510.65 / $10,152.20 / $15,457.80
| Facility | | $6,510.65 | $10,152.20 | $15,457.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,948.63 / $10,635.43 / $13,895.70
| Facility | | $5,948.63 | $10,635.43 | $13,895.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,411.21 / $10,196.29 / $15,268.50
| Facility | | $6,411.21 | $10,196.29 | $15,268.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,062.19 / $7,415.52 / $9,051.35
| Facility | | $6,062.19 | $7,415.52 | $9,051.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.69 / $119.18 / $1,062.00
| Facility | | $82.69 | $119.18 | $1,062.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,439.23 / $10,491.67 / $16,754.66
| Facility | | $7,439.23 | $10,491.67 | $16,754.66 |