- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $17,378.01 / $21,877.62
| Facility | | $12,302.69 | $17,378.01 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $15,135.61 / $20,892.96
| Facility | | $8,709.64 | $15,135.61 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $18,197.01 / $25,118.86
| Facility | | $9,549.93 | $18,197.01 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $15,135.61 / $18,620.87
| Facility | | $8,709.64 | $15,135.61 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $18,197.01 / $25,118.86
| Facility | | $9,120.11 | $18,197.01 | $25,118.86 |