- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,748.20 / $10,856.80 / $17,480.80
| Facility | | $4,748.20 | $10,856.80 | $17,480.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,504.14 / $16,460.14
| Facility | | $1,474.01 | $7,504.14 | $16,460.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,858.91 / $11,351.45 / $16,080.70
| Facility | | $7,858.91 | $11,351.45 | $16,080.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,869.55 / $9,520.78 / $19,994.81
| Facility | | $6,869.55 | $9,520.78 | $19,994.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,345.27 / $11,247.00 / $17,164.84
| Facility | | $7,345.27 | $11,247.00 | $17,164.84 |