- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,239.94 / $14,267.60 / $22,972.70
| Facility | | $6,239.94 | $14,267.60 | $22,972.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,283.17 / $20,065.97
| Facility | | $1,474.01 | $7,283.17 | $20,065.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,327.93 / $14,917.72 / $21,132.75
| Facility | | $10,327.93 | $14,917.72 | $21,132.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,027.74 / $12,511.91 / $26,276.55
| Facility | | $9,027.74 | $12,511.91 | $26,276.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,476.11 / $12,511.91 / $26,615.83
| Facility | | $8,476.11 | $12,511.91 | $26,615.83 |