- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,943.34 / $14,520.20 / $21,018.60
| Facility | | $9,943.34 | $14,520.20 | $21,018.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,066.17 / $12,023.84 / $12,645.42
| Facility | | $11,066.17 | $12,023.84 | $12,645.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,369.67 / $11,900.26 / $20,127.68
| Facility | | $4,369.67 | $11,900.26 | $20,127.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,101.07 / $14,584.76 / $24,411.59
| Facility | | $10,101.07 | $14,584.76 | $24,411.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,507.37 / $16,276.78 / $23,765.43
| Facility | | $12,507.37 | $16,276.78 | $23,765.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,507.37 / $15,131.44 / $23,765.43
| Facility | | $12,507.37 | $15,131.44 | $23,765.43 |