- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $7,585.78 / $20,892.96
| Facility | | $4,897.79 | $7,585.78 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.07 / $7,943.28 / $14,454.40
| Facility | | $5,248.07 | $7,943.28 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $10,471.29 / $16,218.10
| Facility | | $7,244.36 | $10,471.29 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $10,232.93 / $13,803.84
| Facility | | $6,606.93 | $10,232.93 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30,199.52 / $30,199.52 / $30,199.52
| Facility | | $30,199.52 | $30,199.52 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $10,715.19 / $16,218.10
| Facility | | $2,951.21 | $10,715.19 | $16,218.10 |