- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $8,912.51 / $15,488.17
| Facility | | $7,413.10 | $8,912.51 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $8,317.64 / $17,378.01
| Facility | | $6,918.31 | $8,317.64 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $9,120.11 / $15,135.61
| Facility | | $5,248.07 | $9,120.11 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $12,022.64 / $15,488.17
| Facility | | $7,585.78 | $12,022.64 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $10,964.78 / $18,197.01
| Facility | | $7,585.78 | $10,964.78 | $18,197.01 |