- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,509.52 / $13,886.70 / $18,251.90
| Facility | | $9,509.52 | $13,886.70 | $18,251.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,903.16 / $8,051.55 / $13,060.23
| Facility | | $6,903.16 | $8,051.55 | $13,060.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,247.70 / $8,916.73 / $14,959.65
| Facility | | $3,247.70 | $8,916.73 | $14,959.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,660.37 / $13,948.45 / $23,346.55
| Facility | | $9,660.37 | $13,948.45 | $23,346.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,961.69 / $15,566.65 / $22,728.58
| Facility | | $11,961.69 | $15,566.65 | $22,728.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,961.69 / $14,471.28 / $22,728.58
| Facility | | $11,961.69 | $14,471.28 | $22,728.58 |