- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $15,488.17 / $33,884.42
| Facility | | $10,232.93 | $15,488.17 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $12,302.69 / $28,840.32
| Facility | | $9,549.93 | $12,302.69 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $11,220.18 / $18,197.01
| Facility | | $6,165.95 | $11,220.18 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $18,197.01 / $23,988.33
| Facility | | $13,489.63 | $18,197.01 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $17,782.79 / $28,183.83
| Facility | | $7,244.36 | $17,782.79 | $28,183.83 |