- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $7,244.36 / $8,317.64
| Facility | | $5,623.41 | $7,244.36 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $7,762.47 / $8,317.64
| Facility | | $6,309.57 | $7,762.47 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $6,606.93 / $7,943.28
| Facility | | $5,623.41 | $6,606.93 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $8,317.64 / $10,471.29
| Facility | | $5,128.61 | $8,317.64 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $8,912.51 / $9,549.93
| Facility | | $7,244.36 | $8,912.51 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $7,585.78 / $9,772.37
| Facility | | $1,513.56 | $7,585.78 | $9,772.37 |