- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,111.74 / $9,401.51 / $15,137.60
| Facility | | $4,111.74 | $9,401.51 | $15,137.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,205.94 / $8,205.94 / $8,448.19
| Facility | | $8,205.94 | $8,205.94 | $8,448.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $13,281.54
| Facility | | $1,474.01 | $5,930.56 | $13,281.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,805.48 / $9,829.87 / $13,925.20
| Facility | | $6,805.48 | $9,829.87 | $13,925.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,585.25 / $8,039.00 / $17,314.66
| Facility | | $5,585.25 | $8,039.00 | $17,314.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,948.74 / $9,829.00 / $14,864.03
| Facility | | $5,948.74 | $9,829.00 | $14,864.03 |