- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.54 / $10,651.50 / $18,743.59
| Facility | | $6,309.54 | $10,651.50 | $18,743.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,260.70 / $9,263.60 / $14,900.67
| Facility | | $6,260.70 | $9,263.60 | $14,900.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,739.51 / $9,818.12 / $14,133.60
| Facility | | $5,739.51 | $9,818.12 | $14,133.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,473.89 / $16,473.89 / $23,937.67
| Facility | | $16,473.89 | $16,473.89 | $23,937.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,158.00 / $9,493.00 / $15,526.58
| Facility | | $3,158.00 | $9,493.00 | $15,526.58 |