- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,882.93 / $8,878.33 / $14,295.20
| Facility | | $3,882.93 | $8,878.33 | $14,295.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,475.05 / $6,475.05 / $7,473.98
| Facility | | $6,475.05 | $6,475.05 | $7,473.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,269.86 / $12,468.73
| Facility | | $1,474.01 | $5,269.86 | $12,468.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,426.77 / $9,282.87 / $13,150.29
| Facility | | $6,426.77 | $9,282.87 | $13,150.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,617.70 / $7,785.80 / $16,351.13
| Facility | | $5,617.70 | $7,785.80 | $16,351.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.44 / $7,785.80 / $16,562.25
| Facility | | $5,274.44 | $7,785.80 | $16,562.25 |