- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,380.98 / $12,303.60 / $19,810.40
| Facility | | $5,380.98 | $12,303.60 | $19,810.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,632.04 / $11,360.47 / $17,541.09
| Facility | | $9,632.04 | $11,360.47 | $17,541.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $17,411.77
| Facility | | $1,474.01 | $6,242.69 | $17,411.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,906.24 / $12,864.23 / $18,223.72
| Facility | | $8,906.24 | $12,864.23 | $18,223.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,785.03 / $10,789.58 / $22,659.45
| Facility | | $7,785.03 | $10,789.58 | $22,659.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,309.34 / $10,789.58 / $22,952.03
| Facility | | $7,309.34 | $10,789.58 | $22,952.03 |