- 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
- $12,669.97 / $18,367.90 / $32,234.47
| Facility | | $12,669.97 | $18,367.90 | $32,234.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,008.86 / $1,704.97 / $2,463.56
| Facility | | $1,008.86 | $1,704.97 | $2,463.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,744.00 / $2,491.96 / $3,320.58
| Facility | | $1,744.00 | $2,491.96 | $3,320.58 |
- 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 |