- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $7,943.28 / $14,125.38
| Facility | | $6,606.93 | $7,943.28 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,589.25 / $16,982.44
| Facility | | $8,912.51 | $12,589.25 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $10,471.29 / $14,454.40
| Facility | | $8,511.38 | $10,471.29 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $10,232.93 / $13,803.84
| Facility | | $6,309.57 | $10,232.93 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $9,549.93 / $14,454.40
| Facility | | $6,309.57 | $9,549.93 | $14,454.40 |