- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,950.64 / $13,606.10 / $21,907.60
| Facility | | $5,950.64 | $13,606.10 | $21,907.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,106.30 / $20,342.29
| Facility | | $1,474.01 | $7,106.30 | $20,342.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,849.10 / $14,226.10 / $20,152.98
| Facility | | $9,849.10 | $14,226.10 | $20,152.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,609.19 / $11,931.82 / $25,058.30
| Facility | | $8,609.19 | $11,931.82 | $25,058.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,083.14 / $11,931.82 / $25,381.85
| Facility | | $8,083.14 | $11,931.82 | $25,381.85 |