- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $12,022.64 / $20,892.96
| Facility | | $10,232.93 | $12,022.64 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $11,748.98 / $21,877.62
| Facility | | $7,943.28 | $11,748.98 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $12,302.69 / $19,952.62
| Facility | | $7,244.36 | $12,302.69 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $16,218.10 / $21,379.62
| Facility | | $10,715.19 | $16,218.10 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $15,135.61 / $24,547.09
| Facility | | $9,772.37 | $15,135.61 | $24,547.09 |