- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,669.23 / $12,962.70 / $20,871.59
| Facility | | $5,669.23 | $12,962.70 | $20,871.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $18,142.83
| Facility | | $1,474.01 | $5,930.56 | $18,142.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,383.33 / $13,553.34 / $19,199.93
| Facility | | $9,383.33 | $13,553.34 | $19,199.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,202.06 / $11,367.56 / $23,873.27
| Facility | | $8,202.06 | $11,367.56 | $23,873.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,700.88 / $11,367.56 / $24,181.52
| Facility | | $7,700.88 | $11,367.56 | $24,181.52 |