- 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
- $6,074.79 / $8,806.74 / $15,455.25
| Facility | | $6,074.79 | $8,806.74 | $15,455.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,036.83 / $3,442.24 / $4,834.35
| Facility | | $2,036.83 | $3,442.24 | $4,834.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,641.00 / $4,788.89 / $6,727.06
| Facility | | $3,641.00 | $4,788.89 | $6,727.06 |
- 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 |