- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,473.96 / $9,359.41 / $15,069.80
| Facility | | $3,473.96 | $9,359.41 | $15,069.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,496.08 / $9,324.04 / $14,770.93
| Facility | | $7,496.08 | $9,324.04 | $14,770.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $13,259.48
| Facility | | $1,474.01 | $5,930.56 | $13,259.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,775.01 / $9,785.87 / $13,862.85
| Facility | | $6,775.01 | $9,785.87 | $13,862.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,922.10 / $8,207.68 / $17,237.13
| Facility | | $5,922.10 | $8,207.68 | $17,237.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,560.24 / $8,207.68 / $17,459.70
| Facility | | $5,560.24 | $8,207.68 | $17,459.70 |