- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,422.01 / $12,397.40 / $19,961.40
| Facility | | $5,422.01 | $12,397.40 | $19,961.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,127.07 / $9,483.76 / $11,173.87
| Facility | | $7,127.07 | $9,483.76 | $11,173.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,506.70 / $17,413.46
| Facility | | $1,474.01 | $6,506.70 | $17,413.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,974.14 / $12,962.31 / $18,362.66
| Facility | | $8,974.14 | $12,962.31 | $18,362.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,844.39 / $10,871.85 / $22,832.22
| Facility | | $7,844.39 | $10,871.85 | $22,832.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,365.07 / $10,871.85 / $23,127.03
| Facility | | $7,365.07 | $10,871.85 | $23,127.03 |