- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $9,120.11 / $20,892.96
| Facility | | $6,309.57 | $9,120.11 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $8,511.38 / $15,135.61
| Facility | | $4,897.79 | $8,511.38 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,570.40 / $3,801.89 / $7,762.47
| Facility | | $2,570.40 | $3,801.89 | $7,762.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $10,715.19 / $13,489.63
| Facility | | $7,585.78 | $10,715.19 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $14,125.38 / $21,379.62
| Facility | | $6,918.31 | $14,125.38 | $21,379.62 |