- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,363.41 / $12,213.10 / $16,052.20
| Facility | | $8,363.41 | $12,213.10 | $16,052.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,808.74 / $21,266.16 / $35,968.83
| Facility | | $7,808.74 | $21,266.16 | $35,968.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,496.08 / $12,267.34 / $21,982.32
| Facility | | $8,496.08 | $12,267.34 | $21,982.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,520.03 / $13,690.52 / $19,989.27
| Facility | | $10,520.03 | $13,690.52 | $19,989.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,520.03 / $12,727.16 / $19,989.27
| Facility | | $10,520.03 | $12,727.16 | $19,989.27 |