- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $12,589.25 / $19,054.61
| Facility | | $9,120.11 | $12,589.25 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $11,220.18 / $16,982.44
| Facility | | $7,244.36 | $11,220.18 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $10,964.78 / $19,498.45
| Facility | | $7,762.47 | $10,964.78 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.10 / $123.03 / $186.21
| Facility | | $87.10 | $123.03 | $186.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $12,302.69 / $17,782.79
| Facility | | $8,128.31 | $12,302.69 | $17,782.79 |