- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,355.66 / $14,532.20 / $23,398.70
| Facility | | $6,355.66 | $14,532.20 | $23,398.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,844.47 / $23,959.25
| Facility | | $1,474.01 | $6,844.47 | $23,959.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,519.46 / $14,392.06 / $21,524.66
| Facility | | $10,519.46 | $14,392.06 | $21,524.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,633.29 / $12,743.94 / $26,763.85
| Facility | | $8,633.29 | $12,743.94 | $26,763.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,114.31 / $12,392.32 / $22,975.82
| Facility | | $8,114.31 | $12,392.32 | $22,975.82 |