- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $8,477.27 / $21,899.37
| Facility | | $4,241.22 | $8,477.27 | $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
- $923.02 / $1,615.29 / $8,163.00
| Facility | | $923.02 | $1,615.29 | $8,163.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,175.23 / $2,297.34 / $3,134.75
| Facility | | $1,175.23 | $2,297.34 | $3,134.75 |
- 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 |