- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $17,378.01 / $26,302.68
| Facility | | $12,589.25 | $17,378.01 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $15,488.17 / $22,908.68
| Facility | | $9,772.37 | $15,488.17 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $15,135.61 / $26,915.35
| Facility | | $10,964.78 | $15,135.61 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $114.82 / $169.82 / $257.04
| Facility | | $114.82 | $169.82 | $257.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $16,982.44 / $24,547.09
| Facility | | $11,220.18 | $16,982.44 | $24,547.09 |