- 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
- $6,416.80 / $8,696.41 / $16,325.39
| Facility | | $6,416.80 | $8,696.41 | $16,325.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $689.66 / $1,100.36 / $5,694.22
| Facility | | $689.66 | $1,100.36 | $5,694.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,142.00 / $1,547.30 / $2,187.86
| Facility | | $1,142.00 | $1,547.30 | $2,187.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,126.00 / $4,317.00 / $7,856.00
| Facility | | $3,126.00 | $4,317.00 | $7,856.00 |