- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,702.76 / $12,852.70 / $22,487.30
| Facility | | $9,702.76 | $12,852.70 | $22,487.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,345.86 / $10,342.15 / $17,997.46
| Facility | | $8,345.86 | $10,342.15 | $17,997.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $11,374.03 / $22,212.49
| Facility | | $5,843.91 | $11,374.03 | $22,212.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,207.12 / $13,160.91 / $20,077.20
| Facility | | $9,207.12 | $13,160.91 | $20,077.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $13,245.27 / $20,230.52
| Facility | | $3,496.00 | $13,245.27 | $20,230.52 |