- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,811.04 / $10,082.40 / $16,739.09
| Facility | | $7,811.04 | $10,082.40 | $16,739.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,130.83 / $9,385.33 / $17,433.89
| Facility | | $6,130.83 | $9,385.33 | $17,433.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,690.68 / $11,021.10 / $19,248.46
| Facility | | $8,690.68 | $11,021.10 | $19,248.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,402.50 / $10,796.36 / $27,414.65
| Facility | | $5,402.50 | $10,796.36 | $27,414.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,402.50 / $10,307.96 / $14,487.34
| Facility | | $5,402.50 | $10,307.96 | $14,487.34 |