- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,302.69 / $18,620.87
| Facility | | $8,912.51 | $12,302.69 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $11,220.18 / $16,595.87
| Facility | | $6,760.83 | $11,220.18 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $7,762.47 / $8,912.51
| Facility | | $6,606.93 | $7,762.47 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $128.82 / $181.97
| Facility | | $85.11 | $128.82 | $181.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $12,022.64 / $17,378.01
| Facility | | $8,128.31 | $12,022.64 | $17,378.01 |