- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,432.57 / $9,845.45 / $17,225.80
| Facility | | $7,432.57 | $9,845.45 | $17,225.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,234.47 / $7,979.45 / $12,630.31
| Facility | | $6,234.47 | $7,979.45 | $12,630.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,377.00 / $9,694.17 / $16,721.21
| Facility | | $5,377.00 | $9,694.17 | $16,721.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,129.32 / $10,582.44 / $17,470.00
| Facility | | $7,129.32 | $10,582.44 | $17,470.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,451.88 / $10,768.00 / $15,497.09
| Facility | | $3,451.88 | $10,768.00 | $15,497.09 |