- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,570.88 / $7,585.78 / $25,118.86
| Facility | | $4,570.88 | $7,585.78 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $17,378.01 / $25,703.96
| Facility | | $8,912.51 | $17,378.01 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,187.76 / $2,187.76 / $9,549.93
| Facility | | $2,187.76 | $2,187.76 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $5,623.41 / $5,888.44
| Facility | | $5,623.41 | $5,623.41 | $5,888.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $10,964.78 / $17,782.79
| Facility | | $7,244.36 | $10,964.78 | $17,782.79 |