- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,267.51 / $7,471.17 / $12,029.50
| Facility | | $3,267.51 | $7,471.17 | $12,029.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,205.14 / $5,296.51 / $11,801.25
| Facility | | $3,205.14 | $5,296.51 | $11,801.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $4,956.22 / $10,563.13
| Facility | | $1,474.01 | $4,956.22 | $10,563.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,408.17 / $7,811.59 / $11,066.06
| Facility | | $5,408.17 | $7,811.59 | $11,066.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,727.33 / $6,551.80 / $13,759.58
| Facility | | $4,727.33 | $6,551.80 | $13,759.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,438.47 / $6,551.80 / $13,937.24
| Facility | | $4,438.47 | $6,551.80 | $13,937.24 |