- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,142.63 / $14,045.10 / $22,614.40
| Facility | | $6,142.63 | $14,045.10 | $22,614.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,052.01 / $18,811.37
| Facility | | $1,474.01 | $7,052.01 | $18,811.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,166.87 / $14,685.09 / $20,803.18
| Facility | | $10,166.87 | $14,685.09 | $20,803.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,886.95 / $12,316.79 / $25,866.77
| Facility | | $8,886.95 | $12,316.79 | $25,866.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,343.93 / $12,316.79 / $26,200.76
| Facility | | $8,343.93 | $12,316.79 | $26,200.76 |