- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,521.15 / $12,315.30 / $18,751.50
| Facility | | $8,521.15 | $12,315.30 | $18,751.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,843.63 / $12,416.15 / $18,498.31
| Facility | | $7,843.63 | $12,416.15 | $18,498.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,353.87 / $8,995.56 / $10,979.94
| Facility | | $7,353.87 | $8,995.56 | $10,979.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94.85 / $135.10 / $1,105.04
| Facility | | $94.85 | $135.10 | $1,105.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,441.04 / $13,066.05 / $21,503.67
| Facility | | $9,441.04 | $13,066.05 | $21,503.67 |