- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,150.59 / $11,776.80 / $18,962.20
| Facility | | $5,150.59 | $11,776.80 | $18,962.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,256.35 / $16,616.95
| Facility | | $1,474.01 | $7,256.35 | $16,616.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,524.92 / $11,663.25 / $17,443.47
| Facility | | $8,524.92 | $11,663.25 | $17,443.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,451.71 / $10,327.62 / $21,689.28
| Facility | | $7,451.71 | $10,327.62 | $21,689.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,996.38 / $10,327.62 / $21,969.33
| Facility | | $6,996.38 | $10,327.62 | $21,969.33 |