- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,301.70 / $7,549.35 / $12,155.40
| Facility | | $3,301.70 | $7,549.35 | $12,155.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,416.27 / $10,659.85
| Facility | | $1,474.01 | $5,416.27 | $10,659.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $812.00 / $7,893.33 / $11,181.85
| Facility | | $812.00 | $7,893.33 | $11,181.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,776.80 / $6,620.35 / $13,903.56
| Facility | | $4,776.80 | $6,620.35 | $13,903.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,484.92 / $6,620.35 / $14,083.08
| Facility | | $4,484.92 | $6,620.35 | $14,083.08 |