- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,701.64 / $13,180.50 / $18,515.09
| Facility | | $9,701.64 | $13,180.50 | $18,515.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,674.58 / $12,205.53 / $17,838.98
| Facility | | $7,674.58 | $12,205.53 | $17,838.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,463.43 / $11,684.27 / $21,148.00
| Facility | | $8,463.43 | $11,684.27 | $21,148.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.96 / $123.92 / $197.49
| Facility | | $89.96 | $123.92 | $197.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,322.04 / $12,901.34 / $21,232.59
| Facility | | $9,322.04 | $12,901.34 | $21,232.59 |