- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,633.46 / $12,880.90 / $20,739.90
| Facility | | $5,633.46 | $12,880.90 | $20,739.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,688.53 / $18,684.43
| Facility | | $1,474.01 | $10,688.53 | $18,684.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,324.12 / $13,467.83 / $19,078.79
| Facility | | $9,324.12 | $13,467.83 | $19,078.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,150.31 / $11,295.84 / $23,722.65
| Facility | | $8,150.31 | $11,295.84 | $23,722.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,652.30 / $11,295.84 / $24,028.96
| Facility | | $7,652.30 | $11,295.84 | $24,028.96 |