- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,877.23 / $14,429.20 / $20,430.20
| Facility | | $7,877.23 | $14,429.20 | $20,430.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,720.93 / $12,376.65 / $19,448.72
| Facility | | $7,720.93 | $12,376.65 | $19,448.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,189.94 / $12,979.81 / $23,093.15
| Facility | | $8,189.94 | $12,979.81 | $23,093.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,264.00 / $11,979.65 / $27,307.69
| Facility | | $5,264.00 | $11,979.65 | $27,307.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $11,129.44 / $24,267.04
| Facility | | $3,308.00 | $11,129.44 | $24,267.04 |