- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $14,125.38 / $19,952.62
| Facility | | $9,332.54 | $14,125.38 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,168.69 / $11,220.18 / $19,054.61
| Facility | | $4,168.69 | $11,220.18 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $11,481.54 / $19,498.45
| Facility | | $8,317.64 | $11,481.54 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $12,882.50 / $18,620.87
| Facility | | $10,471.29 | $12,882.50 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $12,589.25 / $18,197.01
| Facility | | $6,760.83 | $12,589.25 | $18,197.01 |