- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,744.97 / $13,135.90 / $21,150.50
| Facility | | $5,744.97 | $13,135.90 | $21,150.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,956.37 / $16,816.16
| Facility | | $1,474.01 | $6,956.37 | $16,816.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,508.69 / $14,288.16 / $23,175.05
| Facility | | $9,508.69 | $14,288.16 | $23,175.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,311.64 / $11,519.43 / $24,192.23
| Facility | | $8,311.64 | $11,519.43 | $24,192.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,630.41 / $10,922.00 / $20,768.18
| Facility | | $7,630.41 | $10,922.00 | $20,768.18 |