- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,712.48 / $9,802.20 / $12,883.50
| Facility | | $6,712.48 | $9,802.20 | $12,883.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,642.64 / $9,920.29 / $16,778.83
| Facility | | $3,642.64 | $9,920.29 | $16,778.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,135.98 / $9,845.77 / $16,479.59
| Facility | | $7,135.98 | $9,845.77 | $16,479.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,443.37 / $10,988.01 / $16,043.39
| Facility | | $8,443.37 | $10,988.01 | $16,043.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,443.37 / $10,214.82 / $16,043.39
| Facility | | $8,443.37 | $10,214.82 | $16,043.39 |