- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $8,511.38 / $10,964.78
| Facility | | $6,025.60 | $8,511.38 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $7,413.10 / $10,471.29
| Facility | | $4,570.88 | $7,413.10 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $8,912.51 / $12,589.25
| Facility | | $4,677.35 | $8,912.51 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $8,128.31 / $10,232.93
| Facility | | $4,570.88 | $8,128.31 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.30 / $8,912.51 / $12,589.25
| Facility | | $4,786.30 | $8,912.51 | $12,589.25 |