- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $13,803.84 / $31,622.78
| Facility | | $9,549.93 | $13,803.84 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $18,197.01 / $19,498.45
| Facility | | $10,715.19 | $18,197.01 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $10,232.93 / $20,892.96
| Facility | | $6,456.54 | $10,232.93 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $13,803.84 / $19,498.45
| Facility | | $9,120.11 | $13,803.84 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $21,379.62 / $32,359.37
| Facility | | $6,918.31 | $21,379.62 | $32,359.37 |