- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,632.97 / $8,511.21 / $14,130.60
| Facility | | $6,632.97 | $8,511.21 | $14,130.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,004.81 / $7,497.51 / $12,700.94
| Facility | | $5,004.81 | $7,497.51 | $12,700.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,336.40 / $9,078.20 / $13,053.34
| Facility | | $7,336.40 | $9,078.20 | $13,053.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,560.63 / $9,113.95 / $22,379.56
| Facility | | $4,560.63 | $9,113.95 | $22,379.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,560.63 / $8,919.85 / $12,229.77
| Facility | | $4,560.63 | $8,919.85 | $12,229.77 |