- 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
- $9,454.19 / $12,812.86 / $24,053.01
| Facility | | $9,454.19 | $12,812.86 | $24,053.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,290.60 / $3,930.33 / $7,856.00
| Facility | | $2,290.60 | $3,930.33 | $7,856.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,043.00 / $5,120.06 / $7,187.55
| Facility | | $4,043.00 | $5,120.06 | $7,187.55 |
- 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 |