- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,257.82 / $14,308.50 / $23,038.50
| Facility | | $6,257.82 | $14,308.50 | $23,038.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,087.14 / $17,707.49
| Facility | | $1,474.01 | $7,087.14 | $17,707.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.00 / $14,960.48 / $21,193.32
| Facility | | $812.00 | $14,960.48 | $21,193.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,053.62 / $12,547.77 / $26,351.86
| Facility | | $9,053.62 | $12,547.77 | $26,351.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,500.41 / $12,547.77 / $26,692.11
| Facility | | $8,500.41 | $12,547.77 | $26,692.11 |