- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,816.43 / $7,078.48 / $10,928.60
| Facility | | $4,816.43 | $7,078.48 | $10,928.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,087.65 / $11,497.80 / $14,740.77
| Facility | | $8,087.65 | $11,497.80 | $14,740.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,420.74 / $10,480.49 / $13,255.92
| Facility | | $5,420.74 | $10,480.49 | $13,255.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,816.43 / $7,240.05 / $11,577.20
| Facility | | $4,816.43 | $7,240.05 | $11,577.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,632.78 / $9,632.12 / $14,633.99
| Facility | | $5,632.78 | $9,632.12 | $14,633.99 |