- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,200.65 / $10,515.10 / $13,820.50
| Facility | | $7,200.65 | $10,515.10 | $13,820.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,590.12 / $12,500.64 / $21,143.14
| Facility | | $4,590.12 | $12,500.64 | $21,143.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,579.02 / $10,561.83 / $17,678.11
| Facility | | $7,579.02 | $10,561.83 | $17,678.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,057.44 / $11,787.14 / $17,210.18
| Facility | | $9,057.44 | $11,787.14 | $17,210.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,057.44 / $10,957.72 / $17,210.18
| Facility | | $9,057.44 | $10,957.72 | $17,210.18 |