- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,143.73 / $11,892.30 / $15,630.50
| Facility | | $8,143.73 | $11,892.30 | $15,630.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,059.14 / $8,331.20 / $14,091.11
| Facility | | $3,059.14 | $8,331.20 | $14,091.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,272.91 / $11,945.12 / $19,993.43
| Facility | | $8,272.91 | $11,945.12 | $19,993.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,243.70 / $13,330.91 / $19,464.21
| Facility | | $10,243.70 | $13,330.91 | $19,464.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,243.70 / $12,392.86 / $19,464.21
| Facility | | $10,243.70 | $12,392.86 | $19,464.21 |