- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,334.67 / $11,603.60 / $16,429.40
| Facility | | $6,334.67 | $11,603.60 | $16,429.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,989.39 / $11,330.02 / $18,264.56
| Facility | | $6,989.39 | $11,330.02 | $18,264.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,586.14 / $10,438.03 / $18,570.91
| Facility | | $6,586.14 | $10,438.03 | $18,570.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,889.71 / $9,848.28 / $21,960.15
| Facility | | $4,889.71 | $9,848.28 | $21,960.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,889.71 / $10,430.99 / $21,960.15
| Facility | | $4,889.71 | $10,430.99 | $21,960.15 |