- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,016.39 / $13,756.50 / $22,149.70
| Facility | | $6,016.39 | $13,756.50 | $22,149.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,967.60 / $20,294.78
| Facility | | $1,474.01 | $6,967.60 | $20,294.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,957.92 / $14,383.29 / $20,375.65
| Facility | | $9,957.92 | $14,383.29 | $20,375.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,704.32 / $12,063.66 / $25,335.17
| Facility | | $8,704.32 | $12,063.66 | $25,335.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,172.45 / $12,063.66 / $25,662.30
| Facility | | $8,172.45 | $12,063.66 | $25,662.30 |