- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,486.20 / $15,604.90 / $21,920.80
| Facility | | $11,486.20 | $15,604.90 | $21,920.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,169.21 / $14,413.18 / $20,892.12
| Facility | | $9,169.21 | $14,413.18 | $20,892.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,020.20 / $13,833.50 / $25,038.00
| Facility | | $10,020.20 | $13,833.50 | $25,038.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $106.51 / $146.71 / $233.82
| Facility | | $106.51 | $146.71 | $233.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,036.75 / $15,274.43 / $25,138.15
| Facility | | $11,036.75 | $15,274.43 | $25,138.15 |