- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,055.44 / $10,921.70 / $12,359.60
| Facility | | $7,055.44 | $10,921.70 | $12,359.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,096.65 / $10,733.48 / $14,496.38
| Facility | | $7,096.65 | $10,733.48 | $14,496.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,515.18 / $10,053.62 / $15,350.24
| Facility | | $6,515.18 | $10,053.62 | $15,350.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,341.00 / $11,375.00 / $19,082.00
| Facility | | $7,341.00 | $11,375.00 | $19,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,958.00 / $12,326.65 / $16,759.18
| Facility | | $4,958.00 | $12,326.65 | $16,759.18 |