- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,248.95 / $12,001.70 / $19,324.30
| Facility | | $5,248.95 | $12,001.70 | $19,324.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,810.54 / $10,810.54 / $10,810.54
| Facility | | $10,810.54 | $10,810.54 | $10,810.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,458.17 / $17,062.21
| Facility | | $1,474.01 | $6,458.17 | $17,062.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,687.71 / $12,548.59 / $17,776.59
| Facility | | $8,687.71 | $12,548.59 | $17,776.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,594.02 / $10,524.85 / $22,103.49
| Facility | | $7,594.02 | $10,524.85 | $22,103.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,119.91 / $12,840.98 / $18,975.07
| Facility | | $8,119.91 | $12,840.98 | $18,975.07 |