- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $13,182.57 / $20,417.38
| Facility | | $9,772.37 | $13,182.57 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $12,022.64 / $18,197.01
| Facility | | $7,585.78 | $12,022.64 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $11,748.98 / $20,892.96
| Facility | | $8,317.64 | $11,748.98 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.20 / $131.83 / $194.98
| Facility | | $91.20 | $131.83 | $194.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $12,882.50 / $19,054.61
| Facility | | $8,709.64 | $12,882.50 | $19,054.61 |