- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,894.43 / $10,067.90 / $13,232.70
| Facility | | $6,894.43 | $10,067.90 | $13,232.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,720.59 / $8,276.41 / $9,025.57
| Facility | | $5,720.59 | $8,276.41 | $9,025.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,400.64 / $14,827.73 / $24,876.57
| Facility | | $5,400.64 | $14,827.73 | $24,876.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,256.71 / $10,112.66 / $16,926.31
| Facility | | $7,256.71 | $10,112.66 | $16,926.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,672.26 / $11,285.87 / $16,478.29
| Facility | | $8,672.26 | $11,285.87 | $16,478.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,672.26 / $10,491.72 / $16,478.29
| Facility | | $8,672.26 | $10,491.72 | $16,478.29 |