- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,268.56 / $7,473.58 / $12,033.40
| Facility | | $3,268.56 | $7,473.58 | $12,033.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,624.84 / $5,624.84 / $6,667.68
| Facility | | $5,624.84 | $5,624.84 | $6,667.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $4,984.26 / $10,446.04
| Facility | | $1,474.01 | $4,984.26 | $10,446.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,409.91 / $7,814.11 / $11,069.62
| Facility | | $5,409.91 | $7,814.11 | $11,069.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,728.85 / $6,553.91 / $13,764.01
| Facility | | $4,728.85 | $6,553.91 | $13,764.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,439.89 / $6,553.91 / $13,941.73
| Facility | | $4,439.89 | $6,553.91 | $13,941.73 |