- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,424.62 / $13,600.10 / $19,256.30
| Facility | | $7,424.62 | $13,600.10 | $19,256.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,419.48 / $13,499.36 / $22,342.01
| Facility | | $8,419.48 | $13,499.36 | $22,342.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,719.36 / $12,234.02 / $21,766.26
| Facility | | $7,719.36 | $12,234.02 | $21,766.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,264.00 / $11,867.93 / $25,738.64
| Facility | | $5,264.00 | $11,867.93 | $25,738.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $11,291.32 / $22,872.70
| Facility | | $3,308.00 | $11,291.32 | $22,872.70 |