- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,352.80 / $12,197.10 / $16,367.50
| Facility | | $7,352.80 | $12,197.10 | $16,367.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,618.55 / $9,509.24 / $11,853.99
| Facility | | $6,618.55 | $9,509.24 | $11,853.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,360.85 / $11,300.41 / $17,825.37
| Facility | | $6,360.85 | $11,300.41 | $17,825.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,037.64 / $9,820.50 / $22,522.33
| Facility | | $6,037.64 | $9,820.50 | $22,522.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,168.31 / $9,673.85 / $13,704.18
| Facility | | $7,168.31 | $9,673.85 | $13,704.18 |