- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,422.83 / $12,378.60 / $19,111.50
| Facility | | $8,422.83 | $12,378.60 | $19,111.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,716.59 / $28,030.07 / $35,935.99
| Facility | | $19,716.59 | $28,030.07 | $35,935.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,479.60 / $18,327.91 / $23,181.50
| Facility | | $9,479.60 | $18,327.91 | $23,181.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,422.83 / $12,661.20 / $20,245.70
| Facility | | $8,422.83 | $12,661.20 | $20,245.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,850.41 / $16,844.31 / $25,591.41
| Facility | | $9,850.41 | $16,844.31 | $25,591.41 |