- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,861.82 / $11,116.60 / $17,899.09
| Facility | | $4,861.82 | $11,116.60 | $17,899.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $15,126.06
| Facility | | $1,474.01 | $5,930.56 | $15,126.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,046.96 / $11,623.07 / $16,465.48
| Facility | | $8,046.96 | $11,623.07 | $16,465.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,033.92 / $9,748.59 / $20,473.25
| Facility | | $7,033.92 | $9,748.59 | $20,473.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,604.12 / $9,748.59 / $20,737.59
| Facility | | $6,604.12 | $9,748.59 | $20,737.59 |