- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $552.33 / $8,042.03 / $19,276.96
| Facility | | $552.33 | $8,042.03 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,362.84 / $10,999.42 / $21,276.43
| Facility | | $8,362.84 | $10,999.42 | $21,276.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,257.77 / $7,257.77 / $7,257.77
| Facility | | $7,257.77 | $7,257.77 | $7,257.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $464.12 / $752.57 / $2,009.72
| Facility | | $464.12 | $752.57 | $2,009.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $933.03 / $1,284.77 / $7,983.54
| Facility | | $933.03 | $1,284.77 | $7,983.54 |
- 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 |