- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,964.99 / $9,065.95 / $14,597.30
| Facility | | $3,964.99 | $9,065.95 | $14,597.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,251.49 / $13,745.50
| Facility | | $1,474.01 | $8,251.49 | $13,745.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,562.58 / $9,479.04 / $13,428.19
| Facility | | $6,562.58 | $9,479.04 | $13,428.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,736.42 / $7,950.33 / $16,696.66
| Facility | | $5,736.42 | $7,950.33 | $16,696.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,065.83 / $7,730.97 / $14,333.51
| Facility | | $5,065.83 | $7,730.97 | $14,333.51 |