- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $10,471.29 / $17,782.79
| Facility | | $8,709.64 | $10,471.29 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $16,982.44 / $22,387.21
| Facility | | $12,022.64 | $16,982.44 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $13,803.84 / $19,054.61
| Facility | | $11,220.18 | $13,803.84 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $13,803.84 / $18,620.87
| Facility | | $8,317.64 | $13,803.84 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $14,125.38 / $19,498.45
| Facility | | $8,511.38 | $14,125.38 | $19,498.45 |