- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,193.97 / $7,288.54 / $11,449.40
| Facility | | $5,193.97 | $7,288.54 | $11,449.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,751.24 / $6,751.24 / $6,751.24
| Facility | | $6,751.24 | $6,751.24 | $6,751.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,226.88 / $6,586.47 / $10,689.16
| Facility | | $4,226.88 | $6,586.47 | $10,689.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,531.06 / $6,255.41 / $11,322.00
| Facility | | $4,531.06 | $6,255.41 | $11,322.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.16 / $71.42 / $120.00
| Facility | | $48.16 | $71.42 | $120.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,990.74 / $6,906.99 / $11,367.29
| Facility | | $4,990.74 | $6,906.99 | $11,367.29 |