- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,899.41 / $7,569.94 / $12,567.90
| Facility | | $5,899.41 | $7,569.94 | $12,567.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,168.00 / $3,168.00 / $6,140.75
| Facility | | $3,168.00 | $3,168.00 | $6,140.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,426.16 / $6,775.75 / $11,232.46
| Facility | | $4,426.16 | $6,775.75 | $11,232.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,525.05 / $8,074.21 / $11,609.73
| Facility | | $6,525.05 | $8,074.21 | $11,609.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,056.25 / $8,139.11 / $19,792.04
| Facility | | $4,056.25 | $8,139.11 | $19,792.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,056.25 / $7,933.38 / $10,877.24
| Facility | | $4,056.25 | $7,933.38 | $10,877.24 |