- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $15,848.93 / $22,908.68
| Facility | | $10,715.19 | $15,848.93 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $11,220.18 / $13,803.84
| Facility | | $10,471.29 | $11,220.18 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $13,182.57 / $22,387.21
| Facility | | $4,897.79 | $13,182.57 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $12,882.50 / $21,877.62
| Facility | | $9,549.93 | $12,882.50 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $14,791.08 / $21,379.62
| Facility | | $11,748.98 | $14,791.08 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $14,125.38 / $20,892.96
| Facility | | $7,585.78 | $14,125.38 | $20,892.96 |