- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,830.87 / $10,373.10 / $18,148.90
| Facility | | $7,830.87 | $10,373.10 | $18,148.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,619.93 / $9,199.76 / $17,483.28
| Facility | | $6,619.93 | $9,199.76 | $17,483.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $10,325.92 / $19,396.16
| Facility | | $5,843.91 | $10,325.92 | $19,396.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,511.37 / $11,149.54 / $17,470.00
| Facility | | $7,511.37 | $11,149.54 | $17,470.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $10,768.00 / $16,327.56
| Facility | | $3,496.00 | $10,768.00 | $16,327.56 |