- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,496.25 / $10,280.70 / $16,553.20
| Facility | | $4,496.25 | $10,280.70 | $16,553.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,776.97 / $7,776.97 / $7,776.97
| Facility | | $7,776.97 | $7,776.97 | $7,776.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $14,859.65
| Facility | | $1,474.01 | $5,930.56 | $14,859.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,441.89 / $10,749.11 / $15,227.41
| Facility | | $7,441.89 | $10,749.11 | $15,227.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,505.03 / $9,015.58 / $18,933.82
| Facility | | $6,505.03 | $9,015.58 | $18,933.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,107.55 / $9,015.58 / $19,178.29
| Facility | | $6,107.55 | $9,015.58 | $19,178.29 |