- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,353.10 / $12,239.90 / $19,707.80
| Facility | | $5,353.10 | $12,239.90 | $19,707.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.76 / $6,242.69 / $16,461.30
| Facility | | $1,258.76 | $6,242.69 | $16,461.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,860.10 / $12,797.58 / $18,129.31
| Facility | | $8,860.10 | $12,797.58 | $18,129.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,744.70 / $10,733.68 / $22,542.06
| Facility | | $7,744.70 | $10,733.68 | $22,542.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,271.47 / $10,733.68 / $22,833.12
| Facility | | $7,271.47 | $10,733.68 | $22,833.12 |