- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,407.81 / $12,356.50 / $19,077.40
| Facility | | $8,407.81 | $12,356.50 | $19,077.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,981.48 / $18,455.11 / $23,660.40
| Facility | | $12,981.48 | $18,455.11 | $23,660.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,462.69 / $18,295.22 / $23,140.15
| Facility | | $9,462.69 | $18,295.22 | $23,140.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,407.81 / $12,638.60 / $20,209.59
| Facility | | $8,407.81 | $12,638.60 | $20,209.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,832.84 / $16,814.27 / $25,545.76
| Facility | | $9,832.84 | $16,814.27 | $25,545.76 |