- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,634.07 / $11,219.40 / $17,321.80
| Facility | | $7,634.07 | $11,219.40 | $17,321.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,560.12 / $23,542.68 / $30,182.92
| Facility | | $16,560.12 | $23,542.68 | $30,182.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,591.87 / $16,611.59 / $21,010.66
| Facility | | $8,591.87 | $16,611.59 | $21,010.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,634.07 / $11,475.50 / $18,349.80
| Facility | | $7,634.07 | $11,475.50 | $18,349.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,927.95 / $15,266.92 / $23,194.89
| Facility | | $8,927.95 | $15,266.92 | $23,194.89 |