- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,246.92 / $9,710.60 / $15,635.30
| Facility | | $4,246.92 | $9,710.60 | $15,635.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,768.24 / $8,768.24 / $9,775.83
| Facility | | $8,768.24 | $8,768.24 | $9,775.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $13,963.69
| Facility | | $1,474.01 | $5,930.56 | $13,963.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,029.22 / $10,153.06 / $14,383.02
| Facility | | $7,029.22 | $10,153.06 | $14,383.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,144.31 / $8,515.65 / $17,883.91
| Facility | | $6,144.31 | $8,515.65 | $17,883.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,768.87 / $8,515.65 / $18,114.83
| Facility | | $5,768.87 | $8,515.65 | $18,114.83 |