- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $11,100.08 / $23,483.17
| Facility | | $5,463.36 | $11,100.08 | $23,483.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.41 / $9,976.87 / $19,298.50
| Facility | | $7,585.41 | $9,976.87 | $19,298.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,123.49 / $1,698.73 / $9,696.00
| Facility | | $1,123.49 | $1,698.73 | $9,696.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,752.55 / $2,184.84 / $2,947.93
| Facility | | $1,752.55 | $2,184.84 | $2,947.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,729.16 / $8,002.25 / $9,496.00
| Facility | | $6,729.16 | $8,002.25 | $9,496.00 |