- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,554.45 / $12,656.20 / $22,143.50
| Facility | | $9,554.45 | $12,656.20 | $22,143.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,234.64 / $10,381.79 / $19,951.47
| Facility | | $6,234.64 | $10,381.79 | $19,951.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $11,090.24 / $21,750.35
| Facility | | $5,843.91 | $11,090.24 | $21,750.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,164.62 / $13,166.00 / $19,770.30
| Facility | | $9,164.62 | $13,166.00 | $19,770.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $13,042.81 / $19,921.27
| Facility | | $3,496.00 | $13,042.81 | $19,921.27 |