- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $12,882.50 / $21,877.62
| Facility | | $8,709.64 | $12,882.50 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $10,715.19 / $16,982.44
| Facility | | $7,585.78 | $10,715.19 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $9,120.11 / $11,748.98
| Facility | | $8,709.64 | $9,120.11 | $11,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $11,220.18 / $16,218.10
| Facility | | $7,244.36 | $11,220.18 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $10,471.29 / $14,125.38
| Facility | | $7,762.47 | $10,471.29 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,981.07 / $11,748.98 / $16,218.10
| Facility | | $3,981.07 | $11,748.98 | $16,218.10 |