- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,382.00 / $8,477.27 / $16,762.57
| Facility | | $4,382.00 | $8,477.27 | $16,762.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,070.46 / $5,901.02 / $10,355.91
| Facility | | $4,070.46 | $5,901.02 | $10,355.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $105.20 / $224.19 / $3,413.81
| Facility | | $105.20 | $224.19 | $3,413.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $212.43 / $374.92 / $2,516.35
| Facility | | $212.43 | $374.92 | $2,516.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,138.10 / $5,356.00 / $7,934.00
| Facility | | $2,138.10 | $5,356.00 | $7,934.00 |