- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,478.82 / $12,527.30 / $20,170.59
| Facility | | $5,478.82 | $12,527.30 | $20,170.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,365.58 / $17,401.59
| Facility | | $1,474.01 | $6,365.58 | $17,401.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,068.17 / $13,098.12 / $18,555.06
| Facility | | $9,068.17 | $13,098.12 | $18,555.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,926.58 / $10,985.76 / $23,071.44
| Facility | | $7,926.58 | $10,985.76 | $23,071.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,442.23 / $10,985.76 / $23,369.34
| Facility | | $7,442.23 | $10,985.76 | $23,369.34 |