- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,735.39 / $1,735.39 / $17,639.59
| Facility | | $1,735.39 | $1,735.39 | $17,639.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,436.70 / $10,864.23 / $20,114.68
| Facility | | $6,436.70 | $10,864.23 | $20,114.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,618.97 / $6,550.28 / $15,757.59
| Facility | | $4,618.97 | $6,550.28 | $15,757.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,754.89 / $5,988.53 / $12,407.55
| Facility | | $3,754.89 | $5,988.53 | $12,407.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,575.79 / $3,819.28 / $6,927.00
| Facility | | $2,575.79 | $3,819.28 | $6,927.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,293.00 / $6,652.00 / $9,810.00
| Facility | | $3,293.00 | $6,652.00 | $9,810.00 |