- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $9,120.11 / $14,454.40
| Facility | | $6,606.93 | $9,120.11 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $7,943.28 / $12,022.64
| Facility | | $5,370.32 | $7,943.28 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $9,772.37 / $13,803.84
| Facility | | $6,165.95 | $9,772.37 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $7,943.28 / $12,882.50
| Facility | | $6,025.60 | $7,943.28 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,890.45 / $6,165.95 / $10,232.93
| Facility | | $3,890.45 | $6,165.95 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $10,471.29 / $14,125.38
| Facility | | $5,495.41 | $10,471.29 | $14,125.38 |