- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $14,125.38 / $20,417.38
| Facility | | $9,332.54 | $14,125.38 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $11,220.18 / $16,982.44
| Facility | | $7,762.47 | $11,220.18 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $11,220.18 / $19,498.45
| Facility | | $8,709.64 | $11,220.18 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $10,715.19 / $17,378.01
| Facility | | $6,606.93 | $10,715.19 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $8,709.64 / $14,454.40
| Facility | | $5,495.41 | $8,709.64 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $14,125.38 / $19,952.62
| Facility | | $7,244.36 | $14,125.38 | $19,952.62 |