- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,029.54 / $13,786.50 / $22,198.10
| Facility | | $6,029.54 | $13,786.50 | $22,198.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,052.01 / $19,337.74
| Facility | | $1,474.01 | $7,052.01 | $19,337.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,979.69 / $14,414.72 / $20,420.18
| Facility | | $9,979.69 | $14,414.72 | $20,420.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,723.34 / $12,090.03 / $25,390.55
| Facility | | $8,723.34 | $12,090.03 | $25,390.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,190.31 / $12,090.03 / $25,718.39
| Facility | | $8,190.31 | $12,090.03 | $25,718.39 |