- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,066.88 / $13,871.90 / $22,335.60
| Facility | | $6,066.88 | $13,871.90 | $22,335.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,713.54 / $20,350.78
| Facility | | $1,474.01 | $7,713.54 | $20,350.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,041.50 / $14,504.01 / $20,546.66
| Facility | | $10,041.50 | $14,504.01 | $20,546.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,777.37 / $12,164.91 / $25,547.81
| Facility | | $8,777.37 | $12,164.91 | $25,547.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,241.04 / $12,164.91 / $25,877.68
| Facility | | $8,241.04 | $12,164.91 | $25,877.68 |