- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $13,182.57 / $18,620.87
| Facility | | $8,709.64 | $13,182.57 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $10,232.93 / $16,982.44
| Facility | | $3,801.89 | $10,232.93 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $10,715.19 / $18,197.01
| Facility | | $7,762.47 | $10,715.19 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $12,022.64 / $17,782.79
| Facility | | $9,772.37 | $12,022.64 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $11,748.98 / $16,982.44
| Facility | | $6,456.54 | $11,748.98 | $16,982.44 |