- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,818.61 / $13,304.30 / $21,421.60
| Facility | | $5,818.61 | $13,304.30 | $21,421.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,157.63 / $17,810.54
| Facility | | $1,474.01 | $6,157.63 | $17,810.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,630.58 / $13,910.47 / $19,705.84
| Facility | | $9,630.58 | $13,910.47 | $19,705.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,418.18 / $11,667.09 / $24,502.33
| Facility | | $8,418.18 | $11,667.09 | $24,502.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,903.80 / $11,667.09 / $24,818.70
| Facility | | $7,903.80 | $11,667.09 | $24,818.70 |