- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,977.61 / $9,094.82 / $14,643.80
| Facility | | $3,977.61 | $9,094.82 | $14,643.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,936.29 / $7,936.29 / $8,110.88
| Facility | | $7,936.29 | $7,936.29 | $8,110.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,951.02 / $13,286.63
| Facility | | $1,474.01 | $5,951.02 | $13,286.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,583.48 / $9,509.21 / $13,470.95
| Facility | | $6,583.48 | $9,509.21 | $13,470.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.68 / $7,975.64 / $16,749.83
| Facility | | $5,754.68 | $7,975.64 | $16,749.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,403.05 / $7,975.64 / $16,966.09
| Facility | | $5,403.05 | $7,975.64 | $16,966.09 |