- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,160.79 / $16,780.40 / $23,759.20
| Facility | | $9,160.79 | $16,780.40 | $23,759.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,656.77 / $14,023.37 / $22,196.02
| Facility | | $8,656.77 | $14,023.37 | $22,196.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,524.45 / $15,094.83 / $26,856.09
| Facility | | $9,524.45 | $15,094.83 | $26,856.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,061.02 / $14,185.58 / $31,757.38
| Facility | | $6,061.02 | $14,185.58 | $31,757.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $13,931.69 / $28,221.26
| Facility | | $3,308.00 | $13,931.69 | $28,221.26 |