- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,537.74 / $6,212.00 / $19,962.33
| Facility | | $1,537.74 | $6,212.00 | $19,962.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,071.11 / $17,908.96 / $38,014.25
| Facility | | $8,071.11 | $17,908.96 | $38,014.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,578.54 / $5,585.18 / $13,435.90
| Facility | | $3,578.54 | $5,585.18 | $13,435.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,101.12 / $5,096.84 / $10,579.45
| Facility | | $3,101.12 | $5,096.84 | $10,579.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,666.64 / $3,240.00 / $7,347.00
| Facility | | $1,666.64 | $3,240.00 | $7,347.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,437.00 / $9,370.00 / $12,774.00
| Facility | | $3,437.00 | $9,370.00 | $12,774.00 |