- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,415.60 / $7,897.75 / $12,820.50
| Facility | | $5,415.60 | $7,897.75 | $12,820.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,826.19 / $10,736.91 / $20,049.93
| Facility | | $8,826.19 | $10,736.91 | $20,049.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,430.45 / $13,406.80 / $17,188.20
| Facility | | $9,430.45 | $13,406.80 | $17,188.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,359.19 / $12,294.89 / $15,550.81
| Facility | | $6,359.19 | $12,294.89 | $15,550.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,650.28 / $8,493.46 / $13,581.40
| Facility | | $5,650.28 | $8,493.46 | $13,581.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,607.93 / $11,299.65 / $17,167.45
| Facility | | $6,607.93 | $11,299.65 | $17,167.45 |