- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $10,232.93 / $17,782.79
| Facility | | $8,511.38 | $10,232.93 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $16,218.10 / $21,877.62
| Facility | | $11,481.54 | $16,218.10 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $13,489.63 / $18,620.87
| Facility | | $10,964.78 | $13,489.63 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $13,182.57 / $17,782.79
| Facility | | $8,128.31 | $13,182.57 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $12,302.69 / $18,620.87
| Facility | | $8,128.31 | $12,302.69 | $18,620.87 |