- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $16,982.44 / $22,387.21
| Facility | | $6,606.93 | $16,982.44 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $16,982.44 / $20,417.38
| Facility | | $16,982.44 | $16,982.44 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $15,488.17 / $17,782.79
| Facility | | $11,481.54 | $15,488.17 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $17,782.79 / $24,547.09
| Facility | | $14,454.40 | $17,782.79 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,041.74 / $19,498.45 / $25,703.96
| Facility | | $2,041.74 | $19,498.45 | $25,703.96 |