- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,536.49 / $12,465.80 / $16,384.40
| Facility | | $8,536.49 | $12,465.80 | $16,384.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,148.28 / $11,297.33 / $19,107.90
| Facility | | $4,148.28 | $11,297.33 | $19,107.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,671.91 / $12,521.22 / $20,957.68
| Facility | | $8,671.91 | $12,521.22 | $20,957.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,737.75 / $13,973.84 / $20,402.95
| Facility | | $10,737.75 | $13,973.84 | $20,402.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,737.75 / $12,990.55 / $20,402.95
| Facility | | $10,737.75 | $12,990.55 | $20,402.95 |