- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,549.15 / $11,690.80 / $19,409.50
| Facility | | $8,549.15 | $11,690.80 | $19,409.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,698.21 / $11,927.32 / $22,819.50
| Facility | | $11,698.21 | $11,927.32 | $22,819.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,065.58 / $10,584.66 / $17,930.63
| Facility | | $7,065.58 | $10,584.66 | $17,930.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,077.12 / $12,469.61 / $18,128.00
| Facility | | $10,077.12 | $12,469.61 | $18,128.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,264.38 / $12,518.73 / $31,594.49
| Facility | | $6,264.38 | $12,518.73 | $31,594.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,264.38 / $11,952.43 / $16,798.55
| Facility | | $6,264.38 | $11,952.43 | $16,798.55 |