- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,969.61 / $10,556.90 / $18,470.50
| Facility | | $7,969.61 | $10,556.90 | $18,470.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,585.17 / $8,533.94 / $9,554.58
| Facility | | $4,585.17 | $8,533.94 | $9,554.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,658.88 / $9,363.89 / $18,053.25
| Facility | | $5,658.88 | $9,363.89 | $18,053.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,644.46 / $11,347.09 / $17,470.00
| Facility | | $7,644.46 | $11,347.09 | $17,470.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $10,879.35 / $16,616.86
| Facility | | $3,496.00 | $10,879.35 | $16,616.86 |