- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,265.91 / $7,360.50 / $11,948.40
| Facility | | $5,265.91 | $7,360.50 | $11,948.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,145.18 / $10,030.42 / $11,891.40
| Facility | | $9,145.18 | $10,030.42 | $11,891.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,844.69 / $15,417.35 / $19,765.83
| Facility | | $10,844.69 | $15,417.35 | $19,765.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,926.60 / $11,458.52 / $14,492.96
| Facility | | $5,926.60 | $11,458.52 | $14,492.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,265.91 / $7,915.69 / $12,657.50
| Facility | | $5,265.91 | $7,915.69 | $12,657.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,158.43 / $10,530.98 / $15,999.62
| Facility | | $6,158.43 | $10,530.98 | $15,999.62 |