- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $15,488.17 / $19,952.62
| Facility | | $10,471.29 | $15,488.17 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $6,456.54 / $14,125.38
| Facility | | $3,311.31 | $6,456.54 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $7,413.10 / $13,803.84
| Facility | | $5,370.32 | $7,413.10 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $7,413.10 / $13,803.84
| Facility | | $5,370.32 | $7,413.10 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $9,549.93 / $15,135.61
| Facility | | $3,981.07 | $9,549.93 | $15,135.61 |