- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,953.42 / $9,039.49 / $14,554.70
| Facility | | $3,953.42 | $9,039.49 | $14,554.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,800.76 / $6,800.76 / $7,966.74
| Facility | | $6,800.76 | $6,800.76 | $7,966.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,732.34 / $12,636.72
| Facility | | $1,474.01 | $5,732.34 | $12,636.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,543.43 / $9,451.37 / $13,389.00
| Facility | | $6,543.43 | $9,451.37 | $13,389.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,719.68 / $7,927.13 / $16,647.93
| Facility | | $5,719.68 | $7,927.13 | $16,647.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.18 / $8,015.18 / $16,862.90
| Facility | | $5,370.18 | $8,015.18 | $16,862.90 |