- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,340.48 / $12,211.00 / $19,661.30
| Facility | | $5,340.48 | $12,211.00 | $19,661.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $16,054.75
| Facility | | $1,474.01 | $5,930.56 | $16,054.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,839.20 / $12,767.40 / $18,086.55
| Facility | | $8,839.20 | $12,767.40 | $18,086.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,726.43 / $10,708.37 / $22,488.90
| Facility | | $7,726.43 | $10,708.37 | $22,488.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,254.32 / $10,708.37 / $22,779.27
| Facility | | $7,254.32 | $10,708.37 | $22,779.27 |