- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,152.10 / $14,066.80 / $22,649.30
| Facility | | $6,152.10 | $14,066.80 | $22,649.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,312.81 / $21,066.86
| Facility | | $1,474.01 | $6,312.81 | $21,066.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,182.54 / $14,707.72 / $20,835.25
| Facility | | $10,182.54 | $14,707.72 | $20,835.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,900.66 / $12,335.77 / $25,906.64
| Facility | | $8,900.66 | $12,335.77 | $25,906.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,356.79 / $12,335.77 / $26,241.15
| Facility | | $8,356.79 | $12,335.77 | $26,241.15 |