- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $11,611.47 / $24,068.03
| Facility | | $4,241.22 | $11,611.47 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,349.44 / $9,666.52 / $18,698.16
| Facility | | $7,349.44 | $9,666.52 | $18,698.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,737.51 / $6,737.51 / $6,737.51
| Facility | | $6,737.51 | $6,737.51 | $6,737.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $900.01 / $1,634.26 / $9,496.00
| Facility | | $900.01 | $1,634.26 | $9,496.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,805.90 / $2,372.71 / $7,860.42
| Facility | | $1,805.90 | $2,372.71 | $7,860.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,777.00 / $8,220.00 / $9,696.00
| Facility | | $6,777.00 | $8,220.00 | $9,696.00 |