- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,680.42 / $8,415.29 / $13,549.70
| Facility | | $3,680.42 | $8,415.29 | $13,549.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $4,900.41 / $12,127.66
| Facility | | $1,474.01 | $4,900.41 | $12,127.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,091.59 / $8,798.73 / $12,464.46
| Facility | | $6,091.59 | $8,798.73 | $12,464.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,324.72 / $7,379.74 / $21,853.97
| Facility | | $5,324.72 | $7,379.74 | $21,853.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,702.26 / $7,176.12 / $13,304.80
| Facility | | $4,702.26 | $7,176.12 | $13,304.80 |