- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,579.35 / $10,470.70 / $16,859.20
| Facility | | $4,579.35 | $10,470.70 | $16,859.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,253.21 / $16,558.23
| Facility | | $1,474.01 | $6,253.21 | $16,558.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,579.44 / $10,947.80 / $15,508.87
| Facility | | $7,579.44 | $10,947.80 | $15,508.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,625.27 / $9,182.21 / $19,283.79
| Facility | | $6,625.27 | $9,182.21 | $19,283.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,220.44 / $9,182.21 / $19,532.78
| Facility | | $6,220.44 | $9,182.21 | $19,532.78 |