- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,783.69 / $15,582.20 / $25,089.30
| Facility | | $5,783.69 | $15,582.20 | $25,089.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,140.37 / $14,427.02 / $16,537.29
| Facility | | $12,140.37 | $14,427.02 | $16,537.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $21,905.82
| Facility | | $1,474.01 | $6,242.69 | $21,905.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,279.49 / $16,292.17 / $23,079.82
| Facility | | $11,279.49 | $16,292.17 | $23,079.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,859.52 / $13,664.69 / $28,697.54
| Facility | | $9,859.52 | $13,664.69 | $28,697.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,257.06 / $13,664.69 / $29,068.08
| Facility | | $9,257.06 | $13,664.69 | $29,068.08 |