- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,263.90 / $10,607.40 / $13,941.80
| Facility | | $7,263.90 | $10,607.40 | $13,941.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,864.81 / $8,654.29 / $9,728.51
| Facility | | $7,864.81 | $8,654.29 | $9,728.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,253.33 / $8,967.20 / $14,985.57
| Facility | | $3,253.33 | $8,967.20 | $14,985.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,645.59 / $10,654.59 / $17,833.37
| Facility | | $7,645.59 | $10,654.59 | $17,833.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,136.99 / $11,890.66 / $17,361.33
| Facility | | $9,136.99 | $11,890.66 | $17,361.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,136.99 / $11,053.95 / $17,361.33
| Facility | | $9,136.99 | $11,053.95 | $17,361.33 |