- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $8,317.64 / $12,302.69
| Facility | | $6,309.57 | $8,317.64 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $7,762.47 / $15,488.17
| Facility | | $4,466.84 | $7,762.47 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $7,244.36 / $12,022.64
| Facility | | $4,570.88 | $7,244.36 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $9,772.37 / $13,803.84
| Facility | | $6,165.95 | $9,772.37 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $8,912.51 / $13,489.63
| Facility | | $6,165.95 | $8,912.51 | $13,489.63 |