- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,517.28 / $10,328.50 / $17,147.70
| Facility | | $6,517.28 | $10,328.50 | $17,147.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,991.62 / $7,991.62 / $19,933.57
| Facility | | $7,991.62 | $7,991.62 | $19,933.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,373.56 / $9,547.96 / $16,174.46
| Facility | | $6,373.56 | $9,547.96 | $16,174.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,963.92 / $11,507.96 / $17,832.00
| Facility | | $8,963.92 | $11,507.96 | $17,832.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,534.38 / $11,059.90 / $28,500.04
| Facility | | $5,534.38 | $11,059.90 | $28,500.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,534.38 / $10,559.59 / $14,840.98
| Facility | | $5,534.38 | $10,559.59 | $14,840.98 |