- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,937.32 / $10,514.10 / $18,395.70
| Facility | | $7,937.32 | $10,514.10 | $18,395.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,960.13 / $9,617.61 / $17,960.75
| Facility | | $7,960.13 | $9,617.61 | $17,960.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,453.52 / $10,325.92 / $17,398.11
| Facility | | $5,453.52 | $10,325.92 | $17,398.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,544.21 / $11,301.11 / $17,470.00
| Facility | | $7,544.21 | $11,301.11 | $17,470.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $10,835.26 / $16,549.52
| Facility | | $3,496.00 | $10,835.26 | $16,549.52 |