- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,651.54 / $12,692.60 / $17,032.50
| Facility | | $7,651.54 | $12,692.60 | $17,032.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,902.05 / $7,902.05 / $11,374.29
| Facility | | $7,902.05 | $7,902.05 | $11,374.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,233.11 / $10,673.85 / $16,746.09
| Facility | | $6,233.11 | $10,673.85 | $16,746.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,282.95 / $10,219.50 / $23,437.40
| Facility | | $6,282.95 | $10,219.50 | $23,437.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,415.27 / $10,066.89 / $14,260.97
| Facility | | $7,415.27 | $10,066.89 | $14,260.97 |