- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,881.13 / $15,733.70 / $25,333.30
| Facility | | $6,881.13 | $15,733.70 | $25,333.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,738.34 / $13,738.34 / $13,738.34
| Facility | | $13,738.34 | $13,738.34 | $13,738.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $20,853.77
| Facility | | $1,474.01 | $6,242.69 | $20,853.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,389.19 / $16,450.62 / $23,304.27
| Facility | | $11,389.19 | $16,450.62 | $23,304.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,955.40 / $13,797.59 / $28,976.63
| Facility | | $9,955.40 | $13,797.59 | $28,976.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,791.62 / $13,416.90 / $24,875.42
| Facility | | $8,791.62 | $13,416.90 | $24,875.42 |