- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,634.06 / $11,822.80 / $13,373.30
| Facility | | $7,634.06 | $11,822.80 | $13,373.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,609.37 / $11,508.95 / $15,543.71
| Facility | | $7,609.37 | $11,508.95 | $15,543.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,049.50 / $10,878.13 / $16,219.00
| Facility | | $7,049.50 | $10,878.13 | $16,219.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,755.89 / $12,306.00 / $19,893.00
| Facility | | $7,755.89 | $12,306.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $13,657.69 / $18,133.63
| Facility | | $5,274.00 | $13,657.69 | $18,133.63 |