- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,234.60 / $7,693.04 / $11,877.40
| Facility | | $5,234.60 | $7,693.04 | $11,877.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,557.90 / $19,264.29 / $24,710.99
| Facility | | $13,557.90 | $19,264.29 | $24,710.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,891.37 / $11,390.42 / $14,406.81
| Facility | | $5,891.37 | $11,390.42 | $14,406.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,234.60 / $7,868.64 / $12,582.30
| Facility | | $5,234.60 | $7,868.64 | $12,582.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,121.82 / $10,468.39 / $15,904.52
| Facility | | $6,121.82 | $10,468.39 | $15,904.52 |