- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,916.58 / $12,443.10 / $17,618.09
| Facility | | $5,916.58 | $12,443.10 | $17,618.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,707.85 / $7,707.85 / $12,666.13
| Facility | | $7,707.85 | $7,707.85 | $12,666.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,168.60 / $13,248.13 / $21,307.45
| Facility | | $8,168.60 | $13,248.13 | $21,307.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,062.66 / $11,233.00 / $19,914.56
| Facility | | $7,062.66 | $11,233.00 | $19,914.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,100.00 / $10,678.08 / $23,549.01
| Facility | | $5,100.00 | $10,678.08 | $23,549.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,066.38 / $10,330.75 / $19,802.00
| Facility | | $4,066.38 | $10,330.75 | $19,802.00 |