- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,696.79 / $5,926.02 / $12,068.60
| Facility | | $5,696.79 | $5,926.02 | $12,068.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,617.59 / $10,476.79 / $14,057.61
| Facility | | $7,617.59 | $10,476.79 | $14,057.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,241.28 / $8,570.94 / $12,015.05
| Facility | | $6,241.28 | $8,570.94 | $12,015.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,433.60 / $9,518.99 / $12,000.33
| Facility | | $5,433.60 | $9,518.99 | $12,000.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,433.60 / $9,598.23 / $12,586.14
| Facility | | $5,433.60 | $9,598.23 | $12,586.14 |