- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,455.84 / $10,887.70 / $14,310.20
| Facility | | $7,455.84 | $10,887.70 | $14,310.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,683.93 / $12,756.12 / $21,575.25
| Facility | | $4,683.93 | $12,756.12 | $21,575.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,847.62 / $10,936.13 / $18,304.61
| Facility | | $7,847.62 | $10,936.13 | $18,304.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,378.43 / $12,204.86 / $17,820.09
| Facility | | $9,378.43 | $12,204.86 | $17,820.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,378.43 / $11,346.05 / $17,820.09
| Facility | | $9,378.43 | $11,346.05 | $17,820.09 |