- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,391.50 / $12,327.70 / $19,849.09
| Facility | | $5,391.50 | $12,327.70 | $19,849.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,511.82 / $18,015.86
| Facility | | $1,474.01 | $6,511.82 | $18,015.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,923.65 / $12,889.38 / $18,259.34
| Facility | | $8,923.65 | $12,889.38 | $18,259.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,800.25 / $10,810.68 / $22,703.75
| Facility | | $7,800.25 | $10,810.68 | $22,703.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,323.63 / $10,810.68 / $22,996.90
| Facility | | $7,323.63 | $10,810.68 | $22,996.90 |