- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,185.26 / $11,127.80 / $12,587.10
| Facility | | $7,185.26 | $11,127.80 | $12,587.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,213.69 / $10,910.49 / $14,735.44
| Facility | | $7,213.69 | $10,910.49 | $14,735.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,635.07 / $10,238.62 / $15,632.70
| Facility | | $6,635.07 | $10,238.62 | $15,632.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,667.00 / $11,617.00 / $19,082.00
| Facility | | $7,667.00 | $11,617.00 | $19,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $12,854.77 / $17,108.66
| Facility | | $5,274.00 | $12,854.77 | $17,108.66 |