- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $15,488.17 / $17,782.79
| Facility | | $11,220.18 | $15,488.17 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $11,220.18 / $12,589.25
| Facility | | $8,128.31 | $11,220.18 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $14,454.40 / $18,197.01
| Facility | | $8,317.64 | $14,454.40 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $11,220.18 / $27,542.29
| Facility | | $7,413.10 | $11,220.18 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $10,964.78 / $16,595.87
| Facility | | $7,585.78 | $10,964.78 | $16,595.87 |