- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,606.71 / $10,533.20 / $16,959.90
| Facility | | $4,606.71 | $10,533.20 | $16,959.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,087.21 / $9,635.68 / $15,125.53
| Facility | | $8,087.21 | $9,635.68 | $15,125.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,346.59 / $15,285.57
| Facility | | $1,474.01 | $8,346.59 | $15,285.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,624.71 / $11,013.19 / $15,601.50
| Facility | | $7,624.71 | $11,013.19 | $15,601.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,664.84 / $9,237.06 / $25,725.00
| Facility | | $6,664.84 | $9,237.06 | $25,725.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,257.59 / $9,237.06 / $19,649.45
| Facility | | $6,257.59 | $9,237.06 | $19,649.45 |