- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,469.15 / $10,907.20 / $14,335.80
| Facility | | $7,469.15 | $10,907.20 | $14,335.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,190.48 / $8,688.87 / $14,696.06
| Facility | | $3,190.48 | $8,688.87 | $14,696.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,861.63 / $10,955.66 / $18,337.29
| Facility | | $7,861.63 | $10,955.66 | $18,337.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,395.18 / $12,226.66 / $17,851.91
| Facility | | $9,395.18 | $12,226.66 | $17,851.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,395.18 / $11,366.31 / $17,851.91
| Facility | | $9,395.18 | $11,366.31 | $17,851.91 |