- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $10,471.29 / $13,489.63
| Facility | | $8,912.51 | $10,471.29 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $6,165.95 / $17,378.01
| Facility | | $6,025.60 | $6,165.95 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $10,471.29 / $16,982.44
| Facility | | $4,265.80 | $10,471.29 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $9,772.37 / $14,125.38
| Facility | | $8,709.64 | $9,772.37 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $12,022.64 / $19,054.61
| Facility | | $6,025.60 | $12,022.64 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $10,964.78 / $16,595.87
| Facility | | $7,413.10 | $10,964.78 | $16,595.87 |