- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,938.60 / $11,577.10 / $18,793.30
| Facility | | $7,938.60 | $11,577.10 | $18,793.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,610.25 / $22,192.30 / $28,451.67
| Facility | | $15,610.25 | $22,192.30 | $28,451.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,321.78 / $18,022.79 / $22,795.57
| Facility | | $9,321.78 | $18,022.79 | $22,795.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,282.61 / $12,450.40 / $19,908.70
| Facility | | $8,282.61 | $12,450.40 | $19,908.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,686.42 / $15,817.66 / $24,875.60
| Facility | | $9,686.42 | $15,817.66 | $24,875.60 |