- 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
- $6,952.65 / $9,144.62 / $17,688.66
| Facility | | $6,952.65 | $9,144.62 | $17,688.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,244.27 / $2,177.46 / $8,220.00
| Facility | | $1,244.27 | $2,177.46 | $8,220.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,595.20 / $3,024.72 / $4,261.03
| Facility | | $1,595.20 | $3,024.72 | $4,261.03 |
- 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 |