- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $17,378.01 / $22,387.21
| Facility | | $12,302.69 | $17,378.01 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $15,135.61 / $21,379.62
| Facility | | $9,772.37 | $15,135.61 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $18,197.01 / $25,703.96
| Facility | | $9,549.93 | $18,197.01 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $16,982.44 / $21,379.62
| Facility | | $9,772.37 | $16,982.44 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $18,197.01 / $25,703.96
| Facility | | $9,120.11 | $18,197.01 | $25,703.96 |