- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,234.30 / $9,681.74 / $15,588.80
| Facility | | $4,234.30 | $9,681.74 | $15,588.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,410.32 / $8,806.08 / $13,054.57
| Facility | | $7,410.32 | $8,806.08 | $13,054.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,507.73 / $13,839.82
| Facility | | $1,474.01 | $6,507.73 | $13,839.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,008.33 / $10,122.87 / $14,340.27
| Facility | | $7,008.33 | $10,122.87 | $14,340.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,126.05 / $8,490.34 / $20,366.00
| Facility | | $6,126.05 | $8,490.34 | $20,366.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,751.73 / $8,490.34 / $18,060.98
| Facility | | $5,751.73 | $8,490.34 | $18,060.98 |