- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $15,848.93 / $24,547.09
| Facility | | $11,220.18 | $15,848.93 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $13,489.63 / $20,417.38
| Facility | | $9,120.11 | $13,489.63 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $16,595.87 / $25,118.86
| Facility | | $10,471.29 | $16,595.87 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $13,803.84 / $22,908.68
| Facility | | $9,120.11 | $13,803.84 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $10,471.29 / $17,378.01
| Facility | | $6,606.93 | $10,471.29 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $16,595.87 / $24,547.09
| Facility | | $7,413.10 | $16,595.87 | $24,547.09 |