- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $9,120.11 / $15,848.93
| Facility | | $7,585.78 | $9,120.11 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $9,772.37 / $15,488.17
| Facility | | $7,079.46 | $9,772.37 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $9,120.11 / $15,488.17
| Facility | | $5,370.32 | $9,120.11 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $12,022.64 / $15,848.93
| Facility | | $7,762.47 | $12,022.64 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $11,220.18 / $17,378.01
| Facility | | $7,585.78 | $11,220.18 | $17,378.01 |