- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,952.47 / $10,762.30 / $12,179.20
| Facility | | $6,952.47 | $10,762.30 | $12,179.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,984.08 / $10,563.22 / $14,266.42
| Facility | | $6,984.08 | $10,563.22 | $14,266.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,420.10 / $9,906.90 / $15,126.22
| Facility | | $6,420.10 | $9,906.90 | $15,126.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,410.00 / $11,190.00 / $19,082.00
| Facility | | $7,410.00 | $11,190.00 | $19,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $12,438.29 / $16,554.36
| Facility | | $5,274.00 | $12,438.29 | $16,554.36 |