- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,534.45 / $11,663.20 / $13,198.80
| Facility | | $7,534.45 | $11,663.20 | $13,198.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,494.57 / $11,335.31 / $15,309.20
| Facility | | $7,494.57 | $11,335.31 | $15,309.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,957.52 / $10,736.19 / $15,974.00
| Facility | | $6,957.52 | $10,736.19 | $15,974.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,351.00 / $11,966.00 / $19,318.00
| Facility | | $7,351.00 | $11,966.00 | $19,318.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $13,479.48 / $17,940.11
| Facility | | $5,274.00 | $13,479.48 | $17,940.11 |