- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,508.35 / $10,308.29 / $16,597.70
| Facility | | $4,508.35 | $10,308.29 | $16,597.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,217.70 / $8,486.10 / $13,865.97
| Facility | | $5,217.70 | $8,486.10 | $13,865.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $13,910.07
| Facility | | $1,474.01 | $5,930.56 | $13,910.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,461.91 / $10,778.03 / $15,268.38
| Facility | | $7,461.91 | $10,778.03 | $15,268.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,522.53 / $9,039.83 / $18,984.77
| Facility | | $6,522.53 | $9,039.83 | $18,984.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,123.98 / $9,039.83 / $19,229.90
| Facility | | $6,123.98 | $9,039.83 | $19,229.90 |