- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,661.86 / $12,739.40 / $21,150.50
| Facility | | $8,661.86 | $12,739.40 | $21,150.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,526.03 / $9,496.04 / $16,468.36
| Facility | | $6,526.03 | $9,496.04 | $16,468.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,056.34 / $14,194.23 / $21,742.23
| Facility | | $11,056.34 | $14,194.23 | $21,742.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,826.25 / $13,052.88 / $48,537.00
| Facility | | $6,826.25 | $13,052.88 | $48,537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,210.01 / $12,315.65 / $18,071.54
| Facility | | $8,210.01 | $12,315.65 | $18,071.54 |