- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,387.05 / $12,609.40 / $20,495.59
| Facility | | $7,387.05 | $12,609.40 | $20,495.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,590.99 / $12,816.52 / $13,820.51
| Facility | | $11,590.99 | $12,816.52 | $13,820.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,372.47 / $10,018.79 / $15,805.63
| Facility | | $6,372.47 | $10,018.79 | $15,805.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,432.30 / $9,951.04 / $18,950.41
| Facility | | $5,432.30 | $9,951.04 | $18,950.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,164.00 / $10,610.49 / $14,409.89
| Facility | | $6,164.00 | $10,610.49 | $14,409.89 |