- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $10,964.78 / $19,054.61
| Facility | | $7,943.28 | $10,964.78 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $9,772.37 / $14,791.08
| Facility | | $6,165.95 | $9,772.37 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $9,549.93 / $16,982.44
| Facility | | $6,760.83 | $9,549.93 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $107.15 / $165.96
| Facility | | $74.13 | $107.15 | $165.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $10,471.29 / $15,488.17
| Facility | | $7,079.46 | $10,471.29 | $15,488.17 |