- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,302.69 / $18,620.87
| Facility | | $8,912.51 | $12,302.69 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $10,964.78 / $16,595.87
| Facility | | $6,918.31 | $10,964.78 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $10,715.19 / $19,054.61
| Facility | | $7,585.78 | $10,715.19 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $120.23 / $181.97
| Facility | | $83.18 | $120.23 | $181.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $12,022.64 / $17,378.01
| Facility | | $7,943.28 | $12,022.64 | $17,378.01 |