- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,957.33 / $11,620.10 / $15,272.80
| Facility | | $7,957.33 | $11,620.10 | $15,272.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,350.92 / $14,572.58 / $24,647.55
| Facility | | $5,350.92 | $14,572.58 | $24,647.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,083.56 / $11,671.71 / $19,535.81
| Facility | | $8,083.56 | $11,671.71 | $19,535.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,009.24 / $13,025.79 / $19,018.71
| Facility | | $10,009.24 | $13,025.79 | $19,018.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,009.24 / $12,109.20 / $19,018.71
| Facility | | $10,009.24 | $12,109.20 | $19,018.71 |