- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $9,772.37 / $14,454.40
| Facility | | $7,413.10 | $9,772.37 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $12,022.64 / $15,488.17
| Facility | | $7,943.28 | $12,022.64 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $8,511.38 / $14,125.38
| Facility | | $5,370.32 | $8,511.38 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $11,220.18 / $15,135.61
| Facility | | $7,413.10 | $11,220.18 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $10,232.93 / $15,848.93
| Facility | | $7,079.46 | $10,232.93 | $15,848.93 |