- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $15,488.17 / $21,877.62
| Facility | | $10,232.93 | $15,488.17 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $10,471.29 / $11,748.98
| Facility | | $9,120.11 | $10,471.29 | $11,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $10,232.93 / $17,378.01
| Facility | | $3,801.89 | $10,232.93 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $13,182.57 / $23,442.29
| Facility | | $9,120.11 | $13,182.57 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $14,125.38 / $20,892.96
| Facility | | $11,481.54 | $14,125.38 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $13,803.84 / $20,417.38
| Facility | | $7,244.36 | $13,803.84 | $20,417.38 |