- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,307.79 / $14,422.80 / $23,222.50
| Facility | | $6,307.79 | $14,422.80 | $23,222.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,564.85 / $18,963.05
| Facility | | $1,474.01 | $7,564.85 | $18,963.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,440.24 / $15,079.94 / $21,362.55
| Facility | | $10,440.24 | $15,079.94 | $21,362.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,125.91 / $12,647.96 / $26,562.28
| Facility | | $9,125.91 | $12,647.96 | $26,562.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,568.28 / $12,647.96 / $26,905.25
| Facility | | $8,568.28 | $12,647.96 | $26,905.25 |