- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,467.84 / $10,215.70 / $16,448.59
| Facility | | $4,467.84 | $10,215.70 | $16,448.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $13,440.23
| Facility | | $1,474.01 | $6,242.69 | $13,440.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,394.88 / $10,681.21 / $15,131.21
| Facility | | $7,394.88 | $10,681.21 | $15,131.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,463.93 / $8,958.62 / $18,814.21
| Facility | | $6,463.93 | $8,958.62 | $18,814.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,068.96 / $8,958.62 / $19,057.14
| Facility | | $6,068.96 | $8,958.62 | $19,057.14 |