- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,617.15 / $14,043.90 / $18,458.50
| Facility | | $9,617.15 | $14,043.90 | $18,458.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,115.43 / $11,207.91 / $18,956.66
| Facility | | $4,115.43 | $11,207.91 | $18,956.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,769.70 / $14,106.30 / $23,610.77
| Facility | | $9,769.70 | $14,106.30 | $23,610.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,097.06 / $15,742.82 / $22,985.80
| Facility | | $12,097.06 | $15,742.82 | $22,985.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,097.06 / $14,635.05 / $22,985.80
| Facility | | $12,097.06 | $14,635.05 | $22,985.80 |