- 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
- $3,551.47 / $5,148.63 / $9,035.51
| Facility | | $3,551.47 | $5,148.63 | $9,035.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $887.73 / $1,509.14 / $2,172.50
| Facility | | $887.73 | $1,509.14 | $2,172.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,743.00 / $2,095.34 / $2,983.54
| Facility | | $1,743.00 | $2,095.34 | $2,983.54 |
- 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 |