- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $10,232.93 / $13,182.57
| Facility | | $7,413.10 | $10,232.93 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $9,120.11 / $12,589.25
| Facility | | $6,309.57 | $9,120.11 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $10,715.19 / $15,135.61
| Facility | | $5,623.41 | $10,715.19 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $11,481.54 / $13,803.84
| Facility | | $6,309.57 | $11,481.54 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $10,715.19 / $15,135.61
| Facility | | $5,623.41 | $10,715.19 | $15,135.61 |