- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $14,791.08 / $17,378.01
| Facility | | $9,549.93 | $14,791.08 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $15,848.93 / $21,379.62
| Facility | | $10,715.19 | $15,848.93 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $13,803.84 / $18,620.87
| Facility | | $8,912.51 | $13,803.84 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $15,135.61 / $20,417.38
| Facility | | $10,964.78 | $15,135.61 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $16,595.87 / $22,908.68
| Facility | | $4,073.80 | $16,595.87 | $22,908.68 |