- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,634.12 / $12,608.40 / $18,251.09
| Facility | | $8,634.12 | $12,608.40 | $18,251.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,474.02 / $9,207.73 / $11,536.59
| Facility | | $6,474.02 | $9,207.73 | $11,536.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,766.47 / $10,257.52 / $17,349.22
| Facility | | $3,766.47 | $10,257.52 | $17,349.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,178.87 / $12,766.37 / $23,552.22
| Facility | | $9,178.87 | $12,766.37 | $23,552.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,860.56 / $14,133.67 / $20,636.31
| Facility | | $10,860.56 | $14,133.67 | $20,636.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,860.56 / $13,139.13 / $20,636.31
| Facility | | $10,860.56 | $13,139.13 | $20,636.31 |