- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.30 / $6,606.93 / $15,488.17
| Facility | | $2,089.30 | $6,606.93 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,737.80 / $4,570.88 / $8,317.64
| Facility | | $1,737.80 | $4,570.88 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $18,620.87 / $25,118.86
| Facility | | $18,620.87 | $18,620.87 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,698.24 / $2,238.72 / $8,317.64
| Facility | | $1,698.24 | $2,238.72 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,818.38 / $7,079.46 / $10,715.19
| Facility | | $2,818.38 | $7,079.46 | $10,715.19 |