- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,368.96 / $9,989.62 / $16,084.60
| Facility | | $4,368.96 | $9,989.62 | $16,084.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $4,890.85 / $13,989.14
| Facility | | $1,474.01 | $4,890.85 | $13,989.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,231.20 / $10,444.79 / $14,796.31
| Facility | | $7,231.20 | $10,444.79 | $14,796.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,320.87 / $8,760.34 / $18,397.79
| Facility | | $6,320.87 | $8,760.34 | $18,397.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,758.59 / $10,566.33 / $15,793.86
| Facility | | $6,758.59 | $10,566.33 | $15,793.86 |