- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,803.43 / $10,983.10 / $17,684.09
| Facility | | $4,803.43 | $10,983.10 | $17,684.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $15,497.60
| Facility | | $1,474.01 | $5,930.56 | $15,497.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,950.32 / $11,946.48 / $16,267.74
| Facility | | $7,950.32 | $11,946.48 | $16,267.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,949.45 / $9,631.52 / $20,227.38
| Facility | | $6,949.45 | $9,631.52 | $20,227.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,524.81 / $9,631.52 / $20,488.56
| Facility | | $6,524.81 | $9,631.52 | $20,488.56 |