- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $12,882.50 / $19,498.45
| Facility | | $9,332.54 | $12,882.50 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $11,481.54 / $17,378.01
| Facility | | $7,079.46 | $11,481.54 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $11,220.18 / $19,952.62
| Facility | | $7,943.28 | $11,220.18 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.13 / $125.89 / $190.55
| Facility | | $89.13 | $125.89 | $190.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $12,589.25 / $18,197.01
| Facility | | $8,317.64 | $12,589.25 | $18,197.01 |