- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $11,748.98 / $15,135.61
| Facility | | $8,317.64 | $11,748.98 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $10,232.93 / $14,125.38
| Facility | | $6,918.31 | $10,232.93 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $12,302.69 / $17,378.01
| Facility | | $6,456.54 | $12,302.69 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $11,220.18 / $13,182.57
| Facility | | $6,918.31 | $11,220.18 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $12,302.69 / $17,378.01
| Facility | | $6,309.57 | $12,302.69 | $17,378.01 |