- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,905.19 / $11,543.90 / $15,172.70
| Facility | | $7,905.19 | $11,543.90 | $15,172.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,425.05 / $17,497.83 / $29,595.21
| Facility | | $6,425.05 | $17,497.83 | $29,595.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,030.59 / $11,595.23 / $19,407.79
| Facility | | $8,030.59 | $11,595.23 | $19,407.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,943.65 / $12,940.43 / $18,894.08
| Facility | | $9,943.65 | $12,940.43 | $18,894.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,593.48 / $11,316.64 / $17,640.08
| Facility | | $6,593.48 | $11,316.64 | $17,640.08 |