- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $13,182.57 / $16,982.44
| Facility | | $9,332.54 | $13,182.57 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $11,481.54 / $15,848.93
| Facility | | $7,585.78 | $11,481.54 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $13,803.84 / $19,498.45
| Facility | | $7,244.36 | $13,803.84 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $12,589.25 / $15,848.93
| Facility | | $7,585.78 | $12,589.25 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $13,803.84 / $19,498.45
| Facility | | $7,079.46 | $13,803.84 | $19,498.45 |