- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,318.31 / $5,463.36 / $13,841.56
| Facility | | $2,318.31 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,904.89 / $9,357.90 / $17,567.16
| Facility | | $6,904.89 | $9,357.90 | $17,567.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $464.39 / $804.00 / $7,772.00
| Facility | | $464.39 | $804.00 | $7,772.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $850.92 / $1,057.46 / $2,865.45
| Facility | | $850.92 | $1,057.46 | $2,865.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $5,356.00 / $7,772.00
| Facility | | $4,217.00 | $5,356.00 | $7,772.00 |