- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,698.22 / $10,742.50 / $17,296.80
| Facility | | $4,698.22 | $10,742.50 | $17,296.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,339.07 / $9,339.07 / $13,678.15
| Facility | | $9,339.07 | $9,339.07 | $13,678.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $14,905.46
| Facility | | $1,474.01 | $6,242.69 | $14,905.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,463.00 / $10,638.91 / $15,911.46
| Facility | | $7,463.00 | $10,638.91 | $15,911.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,797.25 / $9,420.58 / $19,784.38
| Facility | | $6,797.25 | $9,420.58 | $19,784.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,381.91 / $9,420.58 / $20,039.84
| Facility | | $6,381.91 | $9,420.58 | $20,039.84 |