- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,874.37 / $13,431.80 / $21,626.80
| Facility | | $5,874.37 | $13,431.80 | $21,626.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,415.32 / $21,002.38
| Facility | | $1,474.01 | $8,415.32 | $21,002.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,722.86 / $13,302.20 / $19,894.68
| Facility | | $9,722.86 | $13,302.20 | $19,894.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,498.85 / $11,778.89 / $24,737.12
| Facility | | $8,498.85 | $11,778.89 | $24,737.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,498.85 / $14,370.98 / $21,235.95
| Facility | | $8,498.85 | $14,370.98 | $21,235.95 |