- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $18,197.01 / $23,442.29
| Facility | | $12,302.69 | $18,197.01 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,890.45 / $7,585.78 / $16,595.87
| Facility | | $3,890.45 | $7,585.78 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $8,709.64 / $16,218.10
| Facility | | $6,309.57 | $8,709.64 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $8,709.64 / $16,218.10
| Facility | | $6,309.57 | $8,709.64 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $11,220.18 / $17,782.79
| Facility | | $4,677.35 | $11,220.18 | $17,782.79 |