- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,661.41 / $10,658.30 / $17,161.30
| Facility | | $4,661.41 | $10,658.30 | $17,161.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $14,689.96
| Facility | | $1,474.01 | $5,930.56 | $14,689.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,715.26 / $11,143.97 / $15,786.77
| Facility | | $7,715.26 | $11,143.97 | $15,786.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,743.98 / $9,346.75 / $19,629.33
| Facility | | $6,743.98 | $9,346.75 | $19,629.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,331.90 / $9,346.75 / $19,882.78
| Facility | | $6,331.90 | $9,346.75 | $19,882.78 |