- 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
- $14,368.80 / $18,898.90 / $36,556.58
| Facility | | $14,368.80 | $18,898.90 | $36,556.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,034.37 / $13,034.37 / $13,034.37
| Facility | | $13,034.37 | $13,034.37 | $13,034.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $867.31 / $1,517.79 / $9,696.00
| Facility | | $867.31 | $1,517.79 | $9,696.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,746.18 / $2,294.00 / $16,721.23
| Facility | | $1,746.18 | $2,294.00 | $16,721.23 |
- 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 |