- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,799.70 / $11,656.40 / $20,394.30
| Facility | | $8,799.70 | $11,656.40 | $20,394.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,659.08 / $9,428.04 / $16,852.75
| Facility | | $6,659.08 | $9,428.04 | $16,852.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $11,063.62 / $20,097.53
| Facility | | $5,843.91 | $11,063.62 | $20,097.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,440.69 / $12,528.97 / $18,208.58
| Facility | | $8,440.69 | $12,528.97 | $18,208.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $12,012.51 / $18,347.62
| Facility | | $3,496.00 | $12,012.51 | $18,347.62 |