- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,083.97 / $8,477.27 / $19,276.96
| Facility | | $4,083.97 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,349.44 / $9,666.52 / $18,698.16
| Facility | | $7,349.44 | $9,666.52 | $18,698.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,148.51 / $2,009.89 / $6,451.00
| Facility | | $1,148.51 | $2,009.89 | $6,451.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,485.80 / $2,796.19 / $3,913.75
| Facility | | $1,485.80 | $2,796.19 | $3,913.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |