- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,559.37 / $10,425.00 / $16,785.59
| Facility | | $4,559.37 | $10,425.00 | $16,785.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $4,776.57 / $13,580.63
| Facility | | $1,474.01 | $4,776.57 | $13,580.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,546.36 / $10,900.01 / $15,441.18
| Facility | | $7,546.36 | $10,900.01 | $15,441.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,596.35 / $9,142.14 / $19,199.62
| Facility | | $6,596.35 | $9,142.14 | $19,199.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,193.29 / $9,142.14 / $19,447.52
| Facility | | $6,193.29 | $9,142.14 | $19,447.52 |