- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,761.43 / $8,600.51 / $13,847.90
| Facility | | $3,761.43 | $8,600.51 | $13,847.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,243.26 / $11,981.73
| Facility | | $1,474.01 | $5,243.26 | $11,981.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,225.66 / $8,992.37 / $12,738.79
| Facility | | $6,225.66 | $8,992.37 | $12,738.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,441.91 / $7,542.16 / $15,839.47
| Facility | | $5,441.91 | $7,542.16 | $15,839.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,109.39 / $7,542.16 / $16,043.98
| Facility | | $5,109.39 | $7,542.16 | $16,043.98 |