- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,495.91 / $11,898.90 / $16,847.59
| Facility | | $6,495.91 | $11,898.90 | $16,847.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,008.93 / $12,442.17 / $12,686.86
| Facility | | $11,008.93 | $12,442.17 | $12,686.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,305.46 / $11,854.65 / $19,246.45
| Facility | | $7,305.46 | $11,854.65 | $19,246.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,753.78 / $10,703.72 / $19,043.61
| Facility | | $6,753.78 | $10,703.72 | $19,043.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,014.17 / $10,103.79 / $22,519.11
| Facility | | $5,014.17 | $10,103.79 | $22,519.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,014.17 / $10,696.49 / $22,519.11
| Facility | | $5,014.17 | $10,696.49 | $22,519.11 |