- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,505.12 / $12,587.50 / $20,267.40
| Facility | | $5,505.12 | $12,587.50 | $20,267.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,140.82 / $16,653.56
| Facility | | $1,474.01 | $6,140.82 | $16,653.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,111.70 / $13,161.00 / $18,644.13
| Facility | | $9,111.70 | $13,161.00 | $18,644.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,477.96 / $10,769.51 / $22,798.09
| Facility | | $7,477.96 | $10,769.51 | $22,798.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,964.63 / $13,414.27 / $23,481.52
| Facility | | $7,964.63 | $13,414.27 | $23,481.52 |