- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,201.68 / $9,607.17 / $15,468.80
| Facility | | $4,201.68 | $9,607.17 | $15,468.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,279.31 / $8,359.79 / $13,437.31
| Facility | | $7,279.31 | $8,359.79 | $13,437.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,815.92 / $13,553.04
| Facility | | $1,474.01 | $5,815.92 | $13,553.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,954.35 / $10,044.91 / $14,229.82
| Facility | | $6,954.35 | $10,044.91 | $14,229.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,078.87 / $8,424.94 / $17,693.41
| Facility | | $6,078.87 | $8,424.94 | $17,693.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,707.43 / $8,424.94 / $17,921.88
| Facility | | $5,707.43 | $8,424.94 | $17,921.88 |