- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,838.22 / $8,776.10 / $14,130.60
| Facility | | $3,838.22 | $8,776.10 | $14,130.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,093.27 / $11,808.82
| Facility | | $1,474.01 | $6,093.27 | $11,808.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,352.77 / $9,175.98 / $12,998.88
| Facility | | $6,352.77 | $9,175.98 | $12,998.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,553.02 / $7,696.15 / $16,162.86
| Facility | | $5,553.02 | $7,696.15 | $16,162.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,213.71 / $7,696.15 / $16,371.55
| Facility | | $5,213.71 | $7,696.15 | $16,371.55 |