- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,124.24 / $4,778.89 / $13,841.56
| Facility | | $1,124.24 | $4,778.89 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,921.80 / $10,419.34 / $20,154.36
| Facility | | $7,921.80 | $10,419.34 | $20,154.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,015.13 / $7,015.13 / $7,015.13
| Facility | | $7,015.13 | $7,015.13 | $7,015.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $448.27 / $828.10 / $8,632.00
| Facility | | $448.27 | $828.10 | $8,632.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $908.50 / $1,209.84 / $8,655.74
| Facility | | $908.50 | $1,209.84 | $8,655.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |