- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.69 / $10,282.79 / $17,990.90
| Facility | | $7,762.69 | $10,282.79 | $17,990.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,141.86 / $12,927.24 / $15,070.35
| Facility | | $7,141.86 | $12,927.24 | $15,070.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,422.85 / $9,882.52 / $17,300.24
| Facility | | $5,422.85 | $9,882.52 | $17,300.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,445.98 / $11,052.47 / $17,470.00
| Facility | | $7,445.98 | $11,052.47 | $17,470.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $10,768.00 / $16,185.41
| Facility | | $3,496.00 | $10,768.00 | $16,185.41 |