- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,555.61 / $12,702.90 / $20,453.30
| Facility | | $5,555.61 | $12,702.90 | $20,453.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,708.29 / $11,566.27 / $12,315.68
| Facility | | $9,708.29 | $11,566.27 | $12,315.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,653.19 / $17,556.49
| Facility | | $1,474.01 | $8,653.19 | $17,556.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,195.28 / $13,281.72 / $18,815.15
| Facility | | $9,195.28 | $13,281.72 | $18,815.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,037.68 / $11,139.74 / $23,394.83
| Facility | | $8,037.68 | $11,139.74 | $23,394.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,546.55 / $11,139.74 / $23,696.90
| Facility | | $7,546.55 | $11,139.74 | $23,696.90 |