- 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
- $9,195.75 / $12,462.61 / $23,395.49
| Facility | | $9,195.75 | $12,462.61 | $23,395.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $484.73 / $4,089.49 / $8,163.00
| Facility | | $484.73 | $4,089.49 | $8,163.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $951.16 / $5,502.00 / $8,475.40
| Facility | | $951.16 | $5,502.00 | $8,475.40 |
- 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 |