- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,240.09 / $9,694.95 / $15,610.10
| Facility | | $4,240.09 | $9,694.95 | $15,610.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,494.10 / $13,744.79
| Facility | | $1,474.01 | $7,494.10 | $13,744.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,846.00 / $9,601.45 / $14,359.87
| Facility | | $6,846.00 | $9,601.45 | $14,359.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,134.42 / $8,501.94 / $17,855.12
| Facility | | $6,134.42 | $8,501.94 | $17,855.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,759.58 / $8,501.94 / $18,085.66
| Facility | | $5,759.58 | $8,501.94 | $18,085.66 |