- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,863.10 / $10,650.70 / $17,050.20
| Facility | | $6,863.10 | $10,650.70 | $17,050.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,596.37 / $6,596.37 / $10,044.08
| Facility | | $6,596.37 | $6,596.37 | $10,044.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,284.24 / $8,398.08 / $11,827.27
| Facility | | $4,284.24 | $8,398.08 | $11,827.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,341.98 / $8,496.39 / $14,886.80
| Facility | | $6,341.98 | $8,496.39 | $14,886.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,227.31 / $9,622.24 / $12,894.09
| Facility | | $6,227.31 | $9,622.24 | $12,894.09 |