- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,785.55 / $10,942.20 / $17,618.30
| Facility | | $4,785.55 | $10,942.20 | $17,618.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,557.58 / $8,557.58 / $14,423.74
| Facility | | $8,557.58 | $8,557.58 | $14,423.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $15,925.29
| Facility | | $1,474.01 | $5,930.56 | $15,925.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,920.72 / $11,440.74 / $16,207.18
| Facility | | $7,920.72 | $11,440.74 | $16,207.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,923.58 / $9,595.66 / $20,152.07
| Facility | | $6,923.58 | $9,595.66 | $20,152.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,500.52 / $9,595.66 / $20,412.27
| Facility | | $6,500.52 | $9,595.66 | $20,412.27 |