- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $11,481.54 / $17,782.79
| Facility | | $8,128.31 | $11,481.54 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $9,772.37 / $15,135.61
| Facility | | $6,760.83 | $9,772.37 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $10,471.29 / $16,982.44
| Facility | | $7,585.78 | $10,471.29 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $9,332.54 / $16,218.10
| Facility | | $6,606.93 | $9,332.54 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.30 / $7,585.78 / $12,882.50
| Facility | | $4,786.30 | $7,585.78 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $12,302.69 / $17,378.01
| Facility | | $6,760.83 | $12,302.69 | $17,378.01 |