- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $21,899.37
| Facility | | $4,241.22 | $10,431.19 | $21,899.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,896.35 / $6,440.04 / $12,457.11
| Facility | | $4,896.35 | $6,440.04 | $12,457.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,012.67 / $1,789.76 / $6,451.00
| Facility | | $1,012.67 | $1,789.76 | $6,451.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,046.22 / $2,542.87 / $3,567.53
| Facility | | $2,046.22 | $2,542.87 | $3,567.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |