- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,718.45 / $12,731.50 / $16,733.59
| Facility | | $8,718.45 | $12,731.50 | $16,733.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,267.40 / $8,898.37 / $15,050.39
| Facility | | $3,267.40 | $8,898.37 | $15,050.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,856.75 / $12,788.11 / $21,404.41
| Facility | | $8,856.75 | $12,788.11 | $21,404.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,966.62 / $14,271.70 / $20,837.84
| Facility | | $10,966.62 | $14,271.70 | $20,837.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,271.79 / $12,186.97 / $19,454.84
| Facility | | $7,271.79 | $12,186.97 | $19,454.84 |