- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $16,595.87 / $22,387.21
| Facility | | $8,709.64 | $16,595.87 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $14,454.40 / $23,442.29
| Facility | | $9,332.54 | $14,454.40 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $17,782.79 / $23,988.33
| Facility | | $8,511.38 | $17,782.79 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $13,489.63 / $26,302.68
| Facility | | $5,495.41 | $13,489.63 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $12,882.50 / $25,118.86
| Facility | | $5,248.07 | $12,882.50 | $25,118.86 |