- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $12,022.64 / $32,359.37
| Facility | | $4,570.88 | $12,022.64 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $11,481.54 / $14,454.40
| Facility | | $7,413.10 | $11,481.54 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $14,454.40 / $22,908.68
| Facility | | $9,120.11 | $14,454.40 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $10,471.29 / $22,387.21
| Facility | | $7,244.36 | $10,471.29 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $10,232.93 / $19,498.45
| Facility | | $6,760.83 | $10,232.93 | $19,498.45 |