- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $11,220.18 / $17,378.01
| Facility | | $7,943.28 | $11,220.18 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $9,549.93 / $14,791.08
| Facility | | $6,606.93 | $9,549.93 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $10,471.29 / $16,982.44
| Facility | | $7,585.78 | $10,471.29 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $9,120.11 / $15,848.93
| Facility | | $6,606.93 | $9,120.11 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $7,413.10 / $12,589.25
| Facility | | $4,677.35 | $7,413.10 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $12,022.64 / $16,982.44
| Facility | | $6,606.93 | $12,022.64 | $16,982.44 |