- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,180.19 / $9,511.15 / $16,640.90
| Facility | | $7,180.19 | $9,511.15 | $16,640.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,471.83 / $8,337.06 / $19,509.29
| Facility | | $5,471.83 | $8,337.06 | $19,509.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,331.01 / $9,565.54 / $16,511.89
| Facility | | $5,331.01 | $9,565.54 | $16,511.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,887.24 / $10,364.18 / $16,921.25
| Facility | | $6,887.24 | $10,364.18 | $16,921.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,334.67 / $10,521.46 / $14,970.88
| Facility | | $3,334.67 | $10,521.46 | $14,970.88 |