- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,994.29 / $10,213.70 / $13,424.40
| Facility | | $6,994.29 | $10,213.70 | $13,424.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,652.97 / $12,671.81 / $21,432.66
| Facility | | $4,652.97 | $12,671.81 | $21,432.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,361.81 / $10,259.12 / $17,171.47
| Facility | | $7,361.81 | $10,259.12 | $17,171.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,797.86 / $11,449.32 / $16,716.95
| Facility | | $8,797.86 | $11,449.32 | $16,716.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,797.86 / $10,643.67 / $16,716.95
| Facility | | $8,797.86 | $10,643.67 | $16,716.95 |