- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,125.34 / $11,719.10 / $18,869.30
| Facility | | $5,125.34 | $11,719.10 | $18,869.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,444.76 / $16,958.70
| Facility | | $1,474.01 | $6,444.76 | $16,958.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,483.12 / $11,606.08 / $17,357.96
| Facility | | $8,483.12 | $11,606.08 | $17,357.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,415.18 / $10,277.00 / $21,582.96
| Facility | | $7,415.18 | $10,277.00 | $21,582.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,962.09 / $10,277.00 / $21,861.64
| Facility | | $6,962.09 | $10,277.00 | $21,861.64 |