- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,448.98 / $7,886.10 / $12,697.60
| Facility | | $3,448.98 | $7,886.10 | $12,697.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $13,049.49
| Facility | | $1,474.01 | $5,930.56 | $13,049.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,708.52 / $8,245.43 / $11,680.64
| Facility | | $5,708.52 | $8,245.43 | $11,680.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,989.88 / $6,915.67 / $14,523.76
| Facility | | $4,989.88 | $6,915.67 | $14,523.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,684.97 / $6,915.67 / $14,711.29
| Facility | | $4,684.97 | $6,915.67 | $14,711.29 |