- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,294.12 / $14,391.50 / $23,172.20
| Facility | | $6,294.12 | $14,391.50 | $23,172.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,990.72 / $19,091.07
| Facility | | $1,474.01 | $6,990.72 | $19,091.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,417.60 / $14,252.70 / $21,316.23
| Facility | | $10,417.60 | $14,252.70 | $21,316.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,106.12 / $12,620.54 / $26,504.69
| Facility | | $9,106.12 | $12,620.54 | $26,504.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,549.70 / $12,620.54 / $26,846.92
| Facility | | $8,549.70 | $12,620.54 | $26,846.92 |