- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,321.78 / $13,411.70 / $18,989.59
| Facility | | $7,321.78 | $13,411.70 | $18,989.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,175.92 / $13,074.26 / $20,570.12
| Facility | | $8,175.92 | $13,074.26 | $20,570.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,612.44 / $12,064.56 / $21,464.77
| Facility | | $7,612.44 | $12,064.56 | $21,464.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,264.00 / $11,382.90 / $25,382.14
| Facility | | $5,264.00 | $11,382.90 | $25,382.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $11,134.92 / $22,555.89
| Facility | | $3,308.00 | $11,134.92 | $22,555.89 |