- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,678.96 / $10,171.79 / $17,796.90
| Facility | | $7,678.96 | $10,171.79 | $17,796.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,183.95 / $9,030.83 / $27,848.16
| Facility | | $8,183.95 | $9,030.83 | $27,848.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,514.88 / $10,484.27 / $17,593.84
| Facility | | $5,514.88 | $10,484.27 | $17,593.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,365.67 / $10,933.26 / $17,470.00
| Facility | | $7,365.67 | $10,933.26 | $17,470.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $10,768.00 / $16,010.84
| Facility | | $3,496.00 | $10,768.00 | $16,010.84 |