- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $15,135.61 / $20,892.96
| Facility | | $8,128.31 | $15,135.61 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $12,302.69 / $19,952.62
| Facility | | $7,943.28 | $12,302.69 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $16,218.10 / $22,387.21
| Facility | | $7,762.47 | $16,218.10 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $11,481.54 / $23,988.33
| Facility | | $5,248.07 | $11,481.54 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $11,748.98 / $23,442.29
| Facility | | $5,011.87 | $11,748.98 | $23,442.29 |