- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $16,595.87 / $21,379.62
| Facility | | $11,220.18 | $16,595.87 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,630.78 / $6,918.31 / $15,135.61
| Facility | | $3,630.78 | $6,918.31 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $7,943.28 / $14,791.08
| Facility | | $5,754.40 | $7,943.28 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $7,943.28 / $14,791.08
| Facility | | $5,754.40 | $7,943.28 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $10,232.93 / $16,218.10
| Facility | | $4,365.16 | $10,232.93 | $16,218.10 |