- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,511.89 / $6,456.54 / $16,982.44
| Facility | | $2,511.89 | $6,456.54 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $15,135.61 / $16,218.10
| Facility | | $7,079.46 | $15,135.61 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $630.96 / $10,000.00 / $10,000.00
| Facility | | $630.96 | $10,000.00 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $1,819.70 / $12,882.50
| Facility | | $1,023.29 | $1,819.70 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $10,471.29 / $18,620.87
| Facility | | $3,311.31 | $10,471.29 | $18,620.87 |