- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $15,488.17 / $26,302.68
| Facility | | $10,471.29 | $15,488.17 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,302.69 / $20,417.38
| Facility | | $8,912.51 | $12,302.69 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,589.25 / $16,218.10
| Facility | | $8,912.51 | $12,589.25 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $12,589.25 / $18,197.01
| Facility | | $8,511.38 | $12,589.25 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $12,589.25 / $17,378.01
| Facility | | $9,549.93 | $12,589.25 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.30 / $14,125.38 / $19,498.45
| Facility | | $4,786.30 | $14,125.38 | $19,498.45 |