- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $12,302.69 / $19,054.61
| Facility | | $8,709.64 | $12,302.69 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $10,471.29 / $16,982.44
| Facility | | $7,079.46 | $10,471.29 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $10,715.19 / $18,197.01
| Facility | | $8,128.31 | $10,715.19 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $9,772.37 / $17,378.01
| Facility | | $6,606.93 | $9,772.37 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $8,128.31 / $13,489.63
| Facility | | $5,128.61 | $8,128.31 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $13,489.63 / $19,054.61
| Facility | | $7,244.36 | $13,489.63 | $19,054.61 |