- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,826.50 / $13,322.30 / $21,450.60
| Facility | | $5,826.50 | $13,322.30 | $21,450.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,665.20 / $12,141.46 / $17,182.91
| Facility | | $10,665.20 | $12,141.46 | $17,182.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,348.68 / $18,699.71
| Facility | | $1,474.01 | $8,348.68 | $18,699.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,643.64 / $13,929.33 / $19,732.57
| Facility | | $9,643.64 | $13,929.33 | $19,732.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,429.60 / $11,682.91 / $24,535.56
| Facility | | $8,429.60 | $11,682.91 | $24,535.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,914.52 / $11,682.91 / $24,852.36
| Facility | | $7,914.52 | $11,682.91 | $24,852.36 |