- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,860.84 / $8,827.82 / $14,213.90
| Facility | | $3,860.84 | $8,827.82 | $14,213.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,743.23 / $13,077.92
| Facility | | $1,474.01 | $5,743.23 | $13,077.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,390.20 / $9,230.04 / $13,075.48
| Facility | | $6,390.20 | $9,230.04 | $13,075.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,585.74 / $7,741.50 / $16,258.10
| Facility | | $5,585.74 | $7,741.50 | $16,258.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,244.43 / $7,741.50 / $16,468.02
| Facility | | $5,244.43 | $7,741.50 | $16,468.02 |