- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,506.69 / $12,591.10 / $20,273.20
| Facility | | $5,506.69 | $12,591.10 | $20,273.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,020.64 / $18,014.16
| Facility | | $1,474.01 | $7,020.64 | $18,014.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,114.31 / $13,164.77 / $18,649.48
| Facility | | $9,114.31 | $13,164.77 | $18,649.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,966.91 / $11,041.65 / $23,188.84
| Facility | | $7,966.91 | $11,041.65 | $23,188.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,480.10 / $11,041.65 / $23,488.25
| Facility | | $7,480.10 | $11,041.65 | $23,488.25 |