- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $13,182.57 / $20,417.38
| Facility | | $9,332.54 | $13,182.57 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $11,220.18 / $17,378.01
| Facility | | $7,762.47 | $11,220.18 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $11,481.54 / $19,952.62
| Facility | | $8,709.64 | $11,481.54 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $11,220.18 / $26,302.68
| Facility | | $6,025.60 | $11,220.18 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $8,709.64 / $14,791.08
| Facility | | $5,495.41 | $8,709.64 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $14,125.38 / $19,952.62
| Facility | | $7,413.10 | $14,125.38 | $19,952.62 |