- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,544.23 / $12,348.70 / $18,036.59
| Facility | | $8,544.23 | $12,348.70 | $18,036.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,798.01 / $12,364.02 / $18,125.89
| Facility | | $7,798.01 | $12,364.02 | $18,125.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,373.78 / $9,019.92 / $11,009.67
| Facility | | $7,373.78 | $9,019.92 | $11,009.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.11 / $135.47 / $1,105.04
| Facility | | $95.11 | $135.47 | $1,105.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,869.29 / $13,606.12 / $20,059.66
| Facility | | $9,869.29 | $13,606.12 | $20,059.66 |