- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,274.99 / $10,623.70 / $13,963.10
| Facility | | $7,274.99 | $10,623.70 | $13,963.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,609.21 / $9,813.04 / $16,463.39
| Facility | | $3,609.21 | $9,813.04 | $16,463.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,657.26 / $10,670.86 / $19,121.52
| Facility | | $7,657.26 | $10,670.86 | $19,121.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,150.95 / $11,908.82 / $17,387.84
| Facility | | $9,150.95 | $11,908.82 | $17,387.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,150.95 / $11,070.84 / $17,387.84
| Facility | | $9,150.95 | $11,070.84 | $17,387.84 |