- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,597.77 / $10,512.80 / $16,926.90
| Facility | | $4,597.77 | $10,512.80 | $16,926.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,486.21 / $15,624.94
| Facility | | $1,474.01 | $5,486.21 | $15,624.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,609.91 / $10,991.81 / $15,571.22
| Facility | | $7,609.91 | $10,991.81 | $15,571.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,651.90 / $9,219.12 / $19,361.32
| Facility | | $6,651.90 | $9,219.12 | $19,361.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,245.44 / $9,219.12 / $19,611.31
| Facility | | $6,245.44 | $9,219.12 | $19,611.31 |