- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $15,135.61 / $21,877.62
| Facility | | $10,232.93 | $15,135.61 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,090.30 / $8,317.64 / $14,125.38
| Facility | | $3,090.30 | $8,317.64 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $12,302.69 / $20,892.96
| Facility | | $9,120.11 | $12,302.69 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $13,803.84 / $20,417.38
| Facility | | $11,220.18 | $13,803.84 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $13,489.63 / $19,952.62
| Facility | | $7,244.36 | $13,489.63 | $19,952.62 |