- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,236.41 / $9,585.62 / $16,771.20
| Facility | | $7,236.41 | $9,585.62 | $16,771.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,660.04 / $7,660.04 / $15,909.96
| Facility | | $7,660.04 | $7,660.04 | $15,909.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,261.67 / $9,770.29 / $16,297.13
| Facility | | $5,261.67 | $9,770.29 | $16,297.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,941.17 / $10,445.33 / $17,053.74
| Facility | | $6,941.17 | $10,445.33 | $17,053.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,360.78 / $10,603.84 / $15,088.10
| Facility | | $3,360.78 | $10,603.84 | $15,088.10 |