- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $11,611.47 / $24,068.03
| Facility | | $5,463.36 | $11,611.47 | $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
- $683.86 / $1,217.09 / $5,700.73
| Facility | | $683.86 | $1,217.09 | $5,700.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,150.00 / $1,521.09 / $2,145.12
| Facility | | $1,150.00 | $1,521.09 | $2,145.12 |
- 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 |