- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,108.51 / $11,680.60 / $18,807.30
| Facility | | $5,108.51 | $11,680.60 | $18,807.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,367.27 / $10,226.62 / $11,218.60
| Facility | | $7,367.27 | $10,226.62 | $11,218.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $16,247.70
| Facility | | $1,474.01 | $6,242.69 | $16,247.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,455.27 / $12,212.84 / $17,300.96
| Facility | | $8,455.27 | $12,212.84 | $17,300.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,390.83 / $10,243.25 / $21,512.08
| Facility | | $7,390.83 | $10,243.25 | $21,512.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,902.65 / $12,272.28 / $18,467.37
| Facility | | $7,902.65 | $12,272.28 | $18,467.37 |