- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,155.25 / $14,074.00 / $22,660.90
| Facility | | $6,155.25 | $14,074.00 | $22,660.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,208.41 / $21,056.68
| Facility | | $1,474.01 | $8,208.41 | $21,056.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,187.76 / $14,715.27 / $20,845.93
| Facility | | $10,187.76 | $14,715.27 | $20,845.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,905.21 / $12,342.10 / $25,919.93
| Facility | | $8,905.21 | $12,342.10 | $25,919.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,361.08 / $12,342.10 / $26,254.61
| Facility | | $8,361.08 | $12,342.10 | $26,254.61 |