- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,027.49 / $16,536.20 / $23,413.50
| Facility | | $9,027.49 | $16,536.20 | $23,413.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,846.41 / $14,331.56 / $22,683.82
| Facility | | $8,846.41 | $14,331.56 | $22,683.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,385.86 / $14,875.17 / $26,465.28
| Facility | | $9,385.86 | $14,875.17 | $26,465.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,972.82 / $13,280.99 / $31,295.24
| Facility | | $5,972.82 | $13,280.99 | $31,295.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $13,728.95 / $27,810.59
| Facility | | $3,308.00 | $13,728.95 | $27,810.59 |