- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,363.10 / $12,262.70 / $19,744.59
| Facility | | $5,363.10 | $12,262.70 | $19,744.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $18,211.00
| Facility | | $1,474.01 | $6,242.69 | $18,211.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,876.64 / $12,821.47 / $18,163.15
| Facility | | $8,876.64 | $12,821.47 | $18,163.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,759.16 / $10,753.72 / $22,584.14
| Facility | | $7,759.16 | $10,753.72 | $22,584.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,285.04 / $10,753.72 / $22,875.75
| Facility | | $7,285.04 | $10,753.72 | $22,875.75 |