- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,433.65 / $10,855.30 / $14,267.70
| Facility | | $7,433.65 | $10,855.30 | $14,267.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,723.30 / $7,416.58 / $12,544.15
| Facility | | $2,723.30 | $7,416.58 | $12,544.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,824.26 / $10,903.58 / $18,250.13
| Facility | | $7,824.26 | $10,903.58 | $18,250.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,350.52 / $12,168.54 / $17,767.06
| Facility | | $9,350.52 | $12,168.54 | $17,767.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,350.52 / $11,312.28 / $17,767.06
| Facility | | $9,350.52 | $11,312.28 | $17,767.06 |