- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $8,511.38 / $23,442.29
| Facility | | $4,365.16 | $8,511.38 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $21,877.62 / $31,622.78
| Facility | | $8,912.51 | $21,877.62 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $1,174.90 / $23,988.33
| Facility | | $1,174.90 | $1,174.90 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,379.62 / $21,379.62 / $21,877.62
| Facility | | $21,379.62 | $21,379.62 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $10,715.19 / $19,952.62
| Facility | | $4,677.35 | $10,715.19 | $19,952.62 |