- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $7,762.47 / $13,489.63
| Facility | | $5,623.41 | $7,762.47 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $6,918.31 / $10,715.19
| Facility | | $4,365.16 | $6,918.31 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.30 / $6,760.83 / $12,022.64
| Facility | | $4,786.30 | $6,760.83 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.48 / $79.43 / $120.23
| Facility | | $52.48 | $79.43 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $7,585.78 / $11,481.54
| Facility | | $5,011.87 | $7,585.78 | $11,481.54 |