- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,778.64 / $13,212.90 / $21,274.40
| Facility | | $5,778.64 | $13,212.90 | $21,274.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,078.68 / $19,512.52
| Facility | | $1,474.01 | $8,078.68 | $19,512.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,564.41 / $13,814.90 / $19,570.46
| Facility | | $9,564.41 | $13,814.90 | $19,570.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,360.35 / $11,586.93 / $24,333.99
| Facility | | $8,360.35 | $11,586.93 | $24,333.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,849.50 / $11,586.93 / $24,648.19
| Facility | | $7,849.50 | $11,586.93 | $24,648.19 |