- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.89 / $5,128.61 / $8,511.38
| Facility | | $2,511.89 | $5,128.61 | $8,511.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $7,585.78 / $14,454.40
| Facility | | $2,238.72 | $7,585.78 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $16,218.10 / $16,218.10
| Facility | | $13,182.57 | $16,218.10 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,258.93 / $2,290.87 / $18,197.01
| Facility | | $1,258.93 | $2,290.87 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $4,677.35 / $11,481.54
| Facility | | $2,884.03 | $4,677.35 | $11,481.54 |