- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,456.13 / $8,467.23 / $13,554.80
| Facility | | $5,456.13 | $8,467.23 | $13,554.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,977.61 / $8,977.61 / $8,977.61
| Facility | | $8,977.61 | $8,977.61 | $8,977.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,466.43 / $6,743.35 / $9,569.58
| Facility | | $3,466.43 | $6,743.35 | $9,569.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,041.84 / $6,754.58 / $11,834.91
| Facility | | $5,041.84 | $6,754.58 | $11,834.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,950.67 / $7,957.87 / $10,250.71
| Facility | | $4,950.67 | $7,957.87 | $10,250.71 |