- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $12,302.69 / $13,182.57
| Facility | | $7,244.36 | $12,302.69 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $12,302.69 / $16,595.87
| Facility | | $8,128.31 | $12,302.69 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $10,964.78 / $16,218.10
| Facility | | $6,918.31 | $10,964.78 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $12,882.50 / $19,952.62
| Facility | | $8,317.64 | $12,882.50 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $11,748.98 / $17,782.79
| Facility | | $4,073.80 | $11,748.98 | $17,782.79 |