- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $11,220.18 / $66,069.34
| Facility | | $6,165.95 | $11,220.18 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $11,748.98 / $22,387.21
| Facility | | $4,466.84 | $11,748.98 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $7,585.78 / $9,549.93
| Facility | | $7,585.78 | $7,585.78 | $9,549.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $389.05 / $562.34 / $1,000.00
| Facility | | $389.05 | $562.34 | $1,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $20,417.38 / $25,703.96
| Facility | | $8,709.64 | $20,417.38 | $25,703.96 |