- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,481.60 / $9,525.68 / $14,706.80
| Facility | | $6,481.60 | $9,525.68 | $14,706.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,794.92 / $15,028.76 / $16,885.62
| Facility | | $11,794.92 | $15,028.76 | $16,885.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,442.61 / $19,110.68 / $24,500.87
| Facility | | $13,442.61 | $19,110.68 | $24,500.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,294.82 / $14,103.85 / $17,838.81
| Facility | | $7,294.82 | $14,103.85 | $17,838.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,481.60 / $9,743.11 / $15,579.70
| Facility | | $6,481.60 | $9,743.11 | $15,579.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,530.66 / $12,962.17 / $19,693.31
| Facility | | $8,530.66 | $12,962.17 | $19,693.31 |