- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,672.95 / $12,665.10 / $16,646.30
| Facility | | $8,672.95 | $12,665.10 | $16,646.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,835.89 / $10,446.58 / $17,668.98
| Facility | | $3,835.89 | $10,446.58 | $17,668.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,810.54 / $12,721.39 / $21,292.73
| Facility | | $8,810.54 | $12,721.39 | $21,292.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,909.41 / $14,197.24 / $20,729.12
| Facility | | $10,909.41 | $14,197.24 | $20,729.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,053.45 / $13,661.77 / $19,692.59
| Facility | | $9,053.45 | $13,661.77 | $19,692.59 |