- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,657.72 / $10,649.90 / $17,147.70
| Facility | | $4,657.72 | $10,649.90 | $17,147.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,978.23 / $14,838.90
| Facility | | $1,474.01 | $6,978.23 | $14,838.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,709.16 / $11,135.16 / $15,774.30
| Facility | | $7,709.16 | $11,135.16 | $15,774.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,738.66 / $9,339.37 / $19,613.83
| Facility | | $6,738.66 | $9,339.37 | $19,613.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,326.90 / $9,339.37 / $19,867.08
| Facility | | $6,326.90 | $9,339.37 | $19,867.08 |