- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,710.85 / $10,771.40 / $17,343.30
| Facility | | $4,710.85 | $10,771.40 | $17,343.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,231.87 / $8,231.87 / $8,231.87
| Facility | | $8,231.87 | $8,231.87 | $8,231.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,438.28 / $14,850.07
| Facility | | $1,474.01 | $6,438.28 | $14,850.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,797.09 / $11,262.17 / $15,954.22
| Facility | | $7,797.09 | $11,262.17 | $15,954.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,815.52 / $9,445.89 / $19,837.54
| Facility | | $6,815.52 | $9,445.89 | $19,837.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,399.06 / $9,445.89 / $20,093.68
| Facility | | $6,399.06 | $9,445.89 | $20,093.68 |