- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,654.44 / $11,177.80 / $16,180.20
| Facility | | $7,654.44 | $11,177.80 | $16,180.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,748.66 / $12,932.40 / $21,873.41
| Facility | | $4,748.66 | $12,932.40 | $21,873.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,029.00 / $11,227.43 / $18,792.18
| Facility | | $8,029.00 | $11,227.43 | $18,792.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,628.24 / $12,529.96 / $18,294.77
| Facility | | $9,628.24 | $12,529.96 | $18,294.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,628.24 / $11,648.27 / $18,294.77
| Facility | | $9,628.24 | $11,648.27 | $18,294.77 |