- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $14,791.08 / $20,892.96
| Facility | | $9,772.37 | $14,791.08 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,398.83 / $6,456.54 / $10,715.19
| Facility | | $2,398.83 | $6,456.54 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $12,022.64 / $19,952.62
| Facility | | $8,709.64 | $12,022.64 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $13,489.63 / $19,498.45
| Facility | | $10,715.19 | $13,489.63 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $12,882.50 / $19,054.61
| Facility | | $6,918.31 | $12,882.50 | $19,054.61 |