- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,192.75 / $9,586.71 / $15,435.80
| Facility | | $4,192.75 | $9,586.71 | $15,435.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,360.80 / $15,097.21
| Facility | | $1,474.01 | $6,360.80 | $15,097.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,939.55 / $10,023.53 / $14,199.54
| Facility | | $6,939.55 | $10,023.53 | $14,199.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,065.93 / $8,407.01 / $17,655.77
| Facility | | $6,065.93 | $8,407.01 | $17,655.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,695.28 / $8,407.01 / $17,883.74
| Facility | | $5,695.28 | $8,407.01 | $17,883.74 |