- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,541.03 / $8,096.58 / $13,036.50
| Facility | | $3,541.03 | $8,096.58 | $13,036.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,006.81 / $11,167.22
| Facility | | $1,474.01 | $5,006.81 | $11,167.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,860.88 / $8,806.79 / $13,910.11
| Facility | | $5,860.88 | $8,806.79 | $13,910.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,123.05 / $7,100.24 / $14,911.38
| Facility | | $5,123.05 | $7,100.24 | $14,911.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,810.01 / $7,100.24 / $15,103.92
| Facility | | $4,810.01 | $7,100.24 | $15,103.92 |