- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,700.43 / $11,524.90 / $20,164.30
| Facility | | $8,700.43 | $11,524.90 | $20,164.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,100.63 / $9,250.78 / $15,756.92
| Facility | | $8,100.63 | $9,250.78 | $15,756.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $11,082.47 / $19,719.66
| Facility | | $5,843.91 | $11,082.47 | $19,719.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,345.45 / $12,387.62 / $18,003.15
| Facility | | $8,345.45 | $12,387.62 | $18,003.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $12,749.14 / $18,140.63
| Facility | | $3,496.00 | $12,749.14 | $18,140.63 |