- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,919.27 / $13,024.80 / $17,119.09
| Facility | | $8,919.27 | $13,024.80 | $17,119.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,697.99 / $10,071.02 / $17,033.78
| Facility | | $3,697.99 | $10,071.02 | $17,033.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,060.76 / $13,082.67 / $21,897.43
| Facility | | $9,060.76 | $13,082.67 | $21,897.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,219.23 / $14,600.43 / $21,317.82
| Facility | | $11,219.23 | $14,600.43 | $21,317.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,281.83 / $14,049.76 / $20,251.84
| Facility | | $9,281.83 | $14,049.76 | $20,251.84 |