- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,479.42 / $10,242.20 / $16,491.20
| Facility | | $4,479.42 | $10,242.20 | $16,491.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,885.77 / $14,676.38
| Facility | | $1,474.01 | $5,885.77 | $14,676.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,414.03 / $10,708.87 / $15,170.40
| Facility | | $7,414.03 | $10,708.87 | $15,170.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,480.68 / $8,981.83 / $18,862.93
| Facility | | $6,480.68 | $8,981.83 | $18,862.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,084.68 / $8,981.83 / $19,106.50
| Facility | | $6,084.68 | $8,981.83 | $19,106.50 |