- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,747.68 / $10,855.60 / $17,478.80
| Facility | | $4,747.68 | $10,855.60 | $17,478.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,443.20 / $8,342.18 / $14,636.56
| Facility | | $6,443.20 | $8,342.18 | $14,636.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $15,301.11
| Facility | | $1,474.01 | $6,242.69 | $15,301.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,858.04 / $11,350.20 / $16,078.92
| Facility | | $7,858.04 | $11,350.20 | $16,078.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,868.79 / $9,519.71 / $19,661.34
| Facility | | $6,868.79 | $9,519.71 | $19,661.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,449.08 / $9,519.71 / $20,250.73
| Facility | | $6,449.08 | $9,519.71 | $20,250.73 |