- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,313.48 / $12,140.20 / $15,956.30
| Facility | | $8,313.48 | $12,140.20 | $15,956.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,863.10 / $10,520.67 / $17,794.29
| Facility | | $3,863.10 | $10,520.67 | $17,794.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,445.36 / $12,194.11 / $20,410.18
| Facility | | $8,445.36 | $12,194.11 | $20,410.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,457.23 / $13,608.79 / $19,869.93
| Facility | | $10,457.23 | $13,608.79 | $19,869.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,457.23 / $12,651.18 / $19,869.93
| Facility | | $10,457.23 | $12,651.18 | $19,869.93 |