- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $14,125.38 / $19,498.45
| Facility | | $7,585.78 | $14,125.38 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $13,803.84 / $22,387.21
| Facility | | $9,332.54 | $13,803.84 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $15,135.61 / $20,892.96
| Facility | | $7,413.10 | $15,135.61 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $11,748.98 / $22,908.68
| Facility | | $5,495.41 | $11,748.98 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $11,220.18 / $21,877.62
| Facility | | $4,265.80 | $11,220.18 | $21,877.62 |