- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,133.76 / $11,738.40 / $18,900.20
| Facility | | $5,133.76 | $11,738.40 | $18,900.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $11,449.69 / $16,743.18
| Facility | | $1,474.01 | $11,449.69 | $16,743.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,497.06 / $12,273.20 / $17,386.46
| Facility | | $8,497.06 | $12,273.20 | $17,386.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,427.36 / $10,293.87 / $21,618.40
| Facility | | $7,427.36 | $10,293.87 | $21,618.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,973.52 / $10,293.87 / $21,897.54
| Facility | | $6,973.52 | $10,293.87 | $21,897.54 |