- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,188.54 / $9,577.10 / $15,420.30
| Facility | | $4,188.54 | $9,577.10 | $15,420.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,181.05 / $8,631.89 / $9,524.12
| Facility | | $7,181.05 | $8,631.89 | $9,524.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $13,140.70
| Facility | | $1,474.01 | $5,930.56 | $13,140.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,932.59 / $10,013.46 / $14,185.29
| Facility | | $6,932.59 | $10,013.46 | $14,185.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,059.84 / $8,398.58 / $17,638.05
| Facility | | $6,059.84 | $8,398.58 | $17,638.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,689.56 / $8,398.58 / $17,865.79
| Facility | | $5,689.56 | $8,398.58 | $17,865.79 |