- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $15,488.17 / $21,877.62
| Facility | | $10,232.93 | $15,488.17 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $10,715.19 / $18,197.01
| Facility | | $3,981.07 | $10,715.19 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $12,589.25 / $21,379.62
| Facility | | $9,120.11 | $12,589.25 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $14,125.38 / $20,892.96
| Facility | | $11,481.54 | $14,125.38 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $13,803.84 / $19,952.62
| Facility | | $7,413.10 | $13,803.84 | $19,952.62 |