- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,610.21 / $8,245.04 / $12,729.60
| Facility | | $5,610.21 | $8,245.04 | $12,729.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,867.45 / $10,667.43 / $18,400.12
| Facility | | $8,867.45 | $10,667.43 | $18,400.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,477.34 / $12,051.80 / $15,451.03
| Facility | | $8,477.34 | $12,051.80 | $15,451.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,314.10 / $12,207.71 / $15,440.55
| Facility | | $6,314.10 | $12,207.71 | $15,440.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,610.21 / $8,433.24 / $13,485.10
| Facility | | $5,610.21 | $8,433.24 | $13,485.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,561.08 / $11,219.53 / $17,045.72
| Facility | | $6,561.08 | $11,219.53 | $17,045.72 |