- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $12,302.69 / $15,848.93
| Facility | | $8,709.64 | $12,302.69 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $10,715.19 / $14,791.08
| Facility | | $7,413.10 | $10,715.19 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $12,882.50 / $18,197.01
| Facility | | $6,760.83 | $12,882.50 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,022.64 / $15,135.61
| Facility | | $8,912.51 | $12,022.64 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $12,882.50 / $18,197.01
| Facility | | $6,606.93 | $12,882.50 | $18,197.01 |