- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,425.24 / $10,118.29 / $16,291.80
| Facility | | $4,425.24 | $10,118.29 | $16,291.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.86 / $4,217.91 / $15,340.80
| Facility | | $1,146.86 | $4,217.91 | $15,340.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,324.36 / $10,579.35 / $14,986.92
| Facility | | $7,324.36 | $10,579.35 | $14,986.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,402.29 / $8,873.19 / $18,634.80
| Facility | | $6,402.29 | $8,873.19 | $18,634.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,011.09 / $8,873.19 / $18,875.41
| Facility | | $6,011.09 | $8,873.19 | $18,875.41 |