- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,880.30 / $7,172.32 / $11,241.80
| Facility | | $4,880.30 | $7,172.32 | $11,241.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,266.08 / $9,383.93 / $10,658.12
| Facility | | $8,266.08 | $9,383.93 | $10,658.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,543.91 / $12,146.44 / $15,572.36
| Facility | | $8,543.91 | $12,146.44 | $15,572.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,492.60 / $10,619.43 / $13,431.66
| Facility | | $5,492.60 | $10,619.43 | $13,431.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,880.30 / $7,336.04 / $11,730.60
| Facility | | $4,880.30 | $7,336.04 | $11,730.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,707.45 / $9,759.81 / $14,827.99
| Facility | | $5,707.45 | $9,759.81 | $14,827.99 |