- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $10,715.19 / $18,620.87
| Facility | | $8,511.38 | $10,715.19 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $11,748.98 / $22,387.21
| Facility | | $10,232.93 | $11,748.98 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $10,715.19 / $17,378.01
| Facility | | $6,309.57 | $10,715.19 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $14,454.40 / $19,054.61
| Facility | | $9,332.54 | $14,454.40 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $13,182.57 / $20,417.38
| Facility | | $8,709.64 | $13,182.57 | $20,417.38 |