- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,743.54 / $17,847.80 / $25,270.60
| Facility | | $9,743.54 | $17,847.80 | $25,270.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,390.45 / $16,846.65 / $27,103.08
| Facility | | $10,390.45 | $16,846.65 | $27,103.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,130.34 / $16,055.05 / $28,564.49
| Facility | | $10,130.34 | $16,055.05 | $28,564.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,446.58 / $15,147.93 / $33,777.56
| Facility | | $6,446.58 | $15,147.93 | $33,777.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $14,817.92 / $30,016.50
| Facility | | $3,308.00 | $14,817.92 | $30,016.50 |