- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,680.85 / $13,765.90 / $22,854.60
| Facility | | $9,680.85 | $13,765.90 | $22,854.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,089.36 / $12,383.52 / $20,929.98
| Facility | | $8,089.36 | $12,383.52 | $20,929.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,752.80 / $14,020.78 / $21,112.17
| Facility | | $10,752.80 | $14,020.78 | $21,112.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,376.25 / $14,104.57 / $36,172.41
| Facility | | $7,376.25 | $14,104.57 | $36,172.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,376.25 / $14,073.89 / $19,780.15
| Facility | | $7,376.25 | $14,073.89 | $19,780.15 |