- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,465.20 / $10,431.19 / $24,068.03
| Facility | | $1,465.20 | $10,431.19 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,283.48 / $11,226.25 / $21,074.53
| Facility | | $8,283.48 | $11,226.25 | $21,074.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,086.83 / $1,815.54 / $7,772.00
| Facility | | $1,086.83 | $1,815.54 | $7,772.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,884.00 / $2,430.11 / $3,391.28
| Facility | | $1,884.00 | $2,430.11 | $3,391.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |