- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $12,589.25 / $16,218.10
| Facility | | $10,715.19 | $12,589.25 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $13,182.57 / $22,908.68
| Facility | | $2,818.38 | $13,182.57 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $15,135.61 / $21,379.62
| Facility | | $11,481.54 | $15,135.61 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $14,454.40 / $22,908.68
| Facility | | $7,244.36 | $14,454.40 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $13,182.57 / $19,498.45
| Facility | | $8,912.51 | $13,182.57 | $19,498.45 |