- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $10,232.93 / $12,302.69
| Facility | | $8,511.38 | $10,232.93 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $9,332.54 / $14,791.08
| Facility | | $9,120.11 | $9,332.54 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151.36 / $151.36 / $151.36
| Facility | | $151.36 | $151.36 | $151.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $10,471.29 / $16,595.87
| Facility | | $8,128.31 | $10,471.29 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $14,454.40 / $14,454.40
| Facility | | $6,918.31 | $14,454.40 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $11,748.98 / $17,378.01
| Facility | | $8,511.38 | $11,748.98 | $17,378.01 |