- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,662.62 / $14,110.30 / $18,545.80
| Facility | | $9,662.62 | $14,110.30 | $18,545.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,912.46 / $11,690.74 / $19,436.43
| Facility | | $7,912.46 | $11,690.74 | $19,436.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,046.96 / $11,021.41 / $18,641.23
| Facility | | $4,046.96 | $11,021.41 | $18,641.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,815.91 / $14,173.03 / $23,722.45
| Facility | | $9,815.91 | $14,173.03 | $23,722.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,154.28 / $15,817.29 / $23,094.53
| Facility | | $12,154.28 | $15,817.29 | $23,094.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,154.28 / $14,704.28 / $23,094.53
| Facility | | $12,154.28 | $14,704.28 | $23,094.53 |