- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $10,715.19 / $16,982.44
| Facility | | $7,762.47 | $10,715.19 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $9,120.11 / $14,125.38
| Facility | | $6,309.57 | $9,120.11 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $10,471.29 / $16,218.10
| Facility | | $7,244.36 | $10,471.29 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $8,709.64 / $15,848.93
| Facility | | $6,606.93 | $8,709.64 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $7,079.46 / $12,022.64
| Facility | | $4,466.84 | $7,079.46 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $11,481.54 / $16,218.10
| Facility | | $6,309.57 | $11,481.54 | $16,218.10 |