- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $21,899.37
| Facility | | $4,241.22 | $10,431.19 | $21,899.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,018.72 / $10,546.81 / $20,400.93
| Facility | | $8,018.72 | $10,546.81 | $20,400.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,936.06 / $6,936.06 / $6,936.06
| Facility | | $6,936.06 | $6,936.06 | $6,936.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $815.59 / $1,427.28 / $8,816.00
| Facility | | $815.59 | $1,427.28 | $8,816.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,392.00 / $2,045.52 / $7,444.70
| Facility | | $1,392.00 | $2,045.52 | $7,444.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.00 / $7,441.00 / $8,816.00
| Facility | | $6,178.00 | $7,441.00 | $8,816.00 |