- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,522.02 / $10,339.60 / $16,648.09
| Facility | | $4,522.02 | $10,339.60 | $16,648.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,477.65 / $15,675.62
| Facility | | $1,474.01 | $6,477.65 | $15,675.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,484.55 / $10,810.73 / $15,314.70
| Facility | | $7,484.55 | $10,810.73 | $15,314.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,542.32 / $9,067.26 / $19,042.36
| Facility | | $6,542.32 | $9,067.26 | $19,042.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,142.56 / $9,067.26 / $19,288.23
| Facility | | $6,142.56 | $9,067.26 | $19,288.23 |