- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,971.30 / $9,080.37 / $14,620.60
| Facility | | $3,971.30 | $9,080.37 | $14,620.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,152.29 / $12,952.35
| Facility | | $1,474.01 | $9,152.29 | $12,952.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,573.03 / $9,494.12 / $13,449.57
| Facility | | $6,573.03 | $9,494.12 | $13,449.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,745.55 / $7,962.99 / $17,152.00
| Facility | | $5,745.55 | $7,962.99 | $17,152.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,143.44 / $9,676.84 / $14,356.33
| Facility | | $6,143.44 | $9,676.84 | $14,356.33 |