- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,504.61 / $13,746.60 / $19,463.70
| Facility | | $7,504.61 | $13,746.60 | $19,463.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,428.12 / $12,042.45 / $19,060.65
| Facility | | $7,428.12 | $12,042.45 | $19,060.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,802.52 / $12,365.81 / $22,000.74
| Facility | | $7,802.52 | $12,365.81 | $22,000.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,264.00 / $11,667.13 / $26,015.92
| Facility | | $5,264.00 | $11,667.13 | $26,015.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $11,040.57 / $23,119.10
| Facility | | $3,308.00 | $11,040.57 | $23,119.10 |