- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $12,302.69 / $16,595.87
| Facility | | $6,606.93 | $12,302.69 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $10,471.29 / $16,982.44
| Facility | | $6,918.31 | $10,471.29 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $12,022.64 / $17,782.79
| Facility | | $6,309.57 | $12,022.64 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $9,549.93 / $19,498.45
| Facility | | $4,677.35 | $9,549.93 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $9,549.93 / $19,054.61
| Facility | | $4,073.80 | $9,549.93 | $19,054.61 |