- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.30 / $7,276.34 / $11,715.80
| Facility | | $3,182.30 | $7,276.34 | $11,715.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,055.70 / $10,564.82
| Facility | | $1,474.01 | $5,055.70 | $10,564.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,267.13 / $7,607.88 / $10,777.47
| Facility | | $5,267.13 | $7,607.88 | $10,777.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,604.05 / $6,380.94 / $13,400.75
| Facility | | $4,604.05 | $6,380.94 | $13,400.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,322.72 / $6,380.94 / $13,573.78
| Facility | | $4,322.72 | $6,380.94 | $13,573.78 |