- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,788.78 / $8,663.04 / $13,948.60
| Facility | | $3,788.78 | $8,663.04 | $13,948.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $4,523.02 / $12,032.63
| Facility | | $1,474.01 | $4,523.02 | $12,032.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,266.00 / $8,579.49 / $12,831.42
| Facility | | $6,266.00 | $8,579.49 | $12,831.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,481.48 / $7,597.00 / $15,954.65
| Facility | | $5,481.48 | $7,597.00 | $15,954.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,146.54 / $7,597.00 / $16,160.65
| Facility | | $5,146.54 | $7,597.00 | $16,160.65 |