- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $11,220.18 / $11,748.98
| Facility | | $9,332.54 | $11,220.18 | $11,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $12,022.64 / $17,378.01
| Facility | | $6,918.31 | $12,022.64 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $9,772.37 / $17,782.79
| Facility | | $7,244.36 | $9,772.37 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $9,332.54 / $12,022.64
| Facility | | $8,317.64 | $9,332.54 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $10,964.78 / $18,197.01
| Facility | | $6,918.31 | $10,964.78 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.43 / $7,079.46 / $9,332.54
| Facility | | $79.43 | $7,079.46 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $12,882.50 / $13,489.63
| Facility | | $10,232.93 | $12,882.50 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $12,022.64 / $16,218.10
| Facility | | $6,918.31 | $12,022.64 | $16,218.10 |