- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,648.20 / $14,089.30 / $18,518.09
| Facility | | $9,648.20 | $14,089.30 | $18,518.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,158.58 / $8,602.01 / $14,549.14
| Facility | | $3,158.58 | $8,602.01 | $14,549.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,801.26 / $14,151.87 / $23,687.03
| Facility | | $9,801.26 | $14,151.87 | $23,687.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,136.14 / $15,793.68 / $23,060.05
| Facility | | $12,136.14 | $15,793.68 | $23,060.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,136.14 / $14,682.33 / $23,060.05
| Facility | | $12,136.14 | $14,682.33 | $23,060.05 |