- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,003.00 / $13,250.30 / $23,183.10
| Facility | | $10,003.00 | $13,250.30 | $23,183.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,397.69 / $11,411.43 / $19,420.65
| Facility | | $9,397.69 | $11,411.43 | $19,420.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $11,368.34 / $23,112.30
| Facility | | $5,843.91 | $11,368.34 | $23,112.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,492.01 / $13,457.74 / $20,698.43
| Facility | | $9,492.01 | $13,457.74 | $20,698.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $14,657.83 / $20,856.49
| Facility | | $3,496.00 | $14,657.83 | $20,856.49 |