- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,782.46 / $12,333.50 / $20,476.59
| Facility | | $7,782.46 | $12,333.50 | $20,476.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,535.61 / $9,790.73 / $16,585.70
| Facility | | $6,535.61 | $9,790.73 | $16,585.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,112.96 / $13,101.00 / $18,674.00
| Facility | | $10,112.96 | $13,101.00 | $18,674.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,608.75 / $12,636.99 / $29,224.67
| Facility | | $6,608.75 | $12,636.99 | $29,224.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,608.75 / $12,609.50 / $17,722.02
| Facility | | $6,608.75 | $12,609.50 | $17,722.02 |