- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,344.79 / $16,013.50 / $18,121.80
| Facility | | $10,344.79 | $16,013.50 | $18,121.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,841.91 / $14,885.61 / $20,104.14
| Facility | | $9,841.91 | $14,885.61 | $20,104.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,552.64 / $14,048.44 / $20,087.81
| Facility | | $9,552.64 | $14,048.44 | $20,087.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,253.00 / $15,496.00 / $20,480.00
| Facility | | $10,253.00 | $15,496.00 | $20,480.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $14,941.31 / $24,572.52
| Facility | | $5,274.00 | $14,941.31 | $24,572.52 |