- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $11,611.47 / $24,068.03
| Facility | | $5,463.36 | $11,611.47 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,193.47 / $8,978.79 / $15,757.21
| Facility | | $6,193.47 | $8,978.79 | $15,757.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,289.68 / $2,175.28 / $3,161.11
| Facility | | $1,289.68 | $2,175.28 | $3,161.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,198.00 / $3,249.95 / $5,251.23
| Facility | | $2,198.00 | $3,249.95 | $5,251.23 |
- 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 |