- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,083.97 / $8,477.27 / $19,276.96
| Facility | | $4,083.97 | $8,477.27 | $19,276.96 |
- 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
- $12,611.15 / $12,611.15 / $12,611.15
| Facility | | $12,611.15 | $12,611.15 | $12,611.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $922.78 / $1,614.87 / $9,696.00
| Facility | | $922.78 | $1,614.87 | $9,696.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,171.83 / $2,381.42 / $16,814.86
| Facility | | $1,171.83 | $2,381.42 | $16,814.86 |
- 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 |