- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.39 / $8,042.03 / $19,276.96
| Facility | | $1,202.39 | $8,042.03 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,086.90 / $11,951.75 / $23,118.55
| Facility | | $9,086.90 | $11,951.75 | $23,118.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,376.03 / $4,376.03 / $4,376.03
| Facility | | $4,376.03 | $4,376.03 | $4,376.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,082.15 / $1,977.69 / $7,221.00
| Facility | | $1,082.15 | $1,977.69 | $7,221.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,546.21 / $2,985.76 / $5,251.23
| Facility | | $1,546.21 | $2,985.76 | $5,251.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |