- 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
- $1,555.92 / $2,783.66 / $4,171.82
| Facility | | $1,555.92 | $2,783.66 | $4,171.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,294.00 / $4,270.43 / $5,660.47
| Facility | | $2,294.00 | $4,270.43 | $5,660.47 |
- 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 |