- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,561.92 / $12,717.30 / $20,476.59
| Facility | | $5,561.92 | $12,717.30 | $20,476.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,996.11 / $15,551.55
| Facility | | $1,474.01 | $5,996.11 | $15,551.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,205.71 / $13,101.00 / $18,836.52
| Facility | | $9,205.71 | $13,101.00 | $18,836.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,046.81 / $11,152.40 / $23,421.41
| Facility | | $8,046.81 | $11,152.40 | $23,421.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,555.12 / $11,152.40 / $23,723.83
| Facility | | $7,555.12 | $11,152.40 | $23,723.83 |