- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $20,928.72
| Facility | | $4,241.22 | $10,431.19 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,094.34 / $5,385.17 / $10,416.66
| Facility | | $4,094.34 | $5,385.17 | $10,416.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,368.73 / $2,368.73 / $2,368.73
| Facility | | $2,368.73 | $2,368.73 | $2,368.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $557.74 / $1,003.93 / $6,451.00
| Facility | | $557.74 | $1,003.93 | $6,451.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,128.11 / $1,553.00 / $2,961.89
| Facility | | $1,128.11 | $1,553.00 | $2,961.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,529.66 / $5,356.00 / $7,934.00
| Facility | | $2,529.66 | $5,356.00 | $7,934.00 |