- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $16,218.10 / $22,908.68
| Facility | | $9,120.11 | $16,218.10 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $13,803.84 / $22,387.21
| Facility | | $9,549.93 | $13,803.84 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $18,197.01 / $24,547.09
| Facility | | $8,709.64 | $18,197.01 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $13,182.57 / $26,915.35
| Facility | | $5,495.41 | $13,182.57 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $13,182.57 / $25,703.96
| Facility | | $5,248.07 | $13,182.57 | $25,703.96 |