- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $5,248.07 / $14,125.38
| Facility | | $3,311.31 | $5,248.07 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $8,317.64 / $12,882.50
| Facility | | $5,888.44 | $8,317.64 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $7,079.46 / $9,549.93
| Facility | | $4,466.84 | $7,079.46 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,417.38 / $31,622.78 / $31,622.78
| Facility | | $20,417.38 | $31,622.78 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $7,244.36 / $10,964.78
| Facility | | $2,951.21 | $7,244.36 | $10,964.78 |