- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,708.15 / $7,693.96 / $10,320.79
| Facility | | $3,708.15 | $7,693.96 | $10,320.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,460.28 / $8,387.17 / $15,370.60
| Facility | | $3,460.28 | $8,387.17 | $15,370.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,651.00 / $7,154.68 / $8,507.24
| Facility | | $2,651.00 | $7,154.68 | $8,507.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,539.87 / $7,944.85 / $12,504.95
| Facility | | $6,539.87 | $7,944.85 | $12,504.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,500.00 / $5,519.58 / $11,286.70
| Facility | | $1,500.00 | $5,519.58 | $11,286.70 |