- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,241.22 / $10,431.19 / $20,928.72
| Facility | | $4,241.22 | $10,431.19 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,970.26 / $10,801.75 / $20,277.64
| Facility | | $7,970.26 | $10,801.75 | $20,277.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,494.71 / $4,103.42 / $7,856.00
| Facility | | $2,494.71 | $4,103.42 | $7,856.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,958.24 / $5,539.25 / $7,712.11
| Facility | | $3,958.24 | $5,539.25 | $7,712.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,054.00 / $4,317.00 / $13,909.00
| Facility | | $3,054.00 | $4,317.00 | $13,909.00 |