- 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
- $1,393.28 / $2,438.23 / $8,892.70
| Facility | | $1,393.28 | $2,438.23 | $8,892.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,805.69 / $3,405.35 / $4,595.76
| Facility | | $1,805.69 | $3,405.35 | $4,595.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |